Municipal solid waste incinerator (MSWI) fly ash was frequently classified as hazardous materials as the metals' concentration of toxicity characteristic leaching procedure (TCLP) exceeded regulations. Many studies have focused on reducing the concentration of TCLP using thermal treatment and increasing the application of thermally treated slag. However, the metal patterns in MSWI fly ash with or without thermal treatment have seldom been addressed. The main objective of this study was evaluation of the distribution patterns of Pb, Cu and Cd from MSWI fly ash during thermal treatment by sequential extraction procedure. The experimental parameters included the form of pretreatment, the proportion of bottom ash (bottom ash/fly ash, B/F=0, 0.1 and 1) and the retention time. The results indicated that (1) In comparison to raw fly ash, the distribution patterns of Pb, Cu and Cd become stable in thermally treated slag. (2) Washing pretreatment caused the Pb pattern to become stable, while the influence on Cu and Cd were not significant. (3) The distribution patterns of Pb, Cu, and Cd became more stable as the retention time increased. (4) Adding bottom ash could make the distribution patterns of Pb and Cd more stable.