Physicochemical characteristics of sediment and benthic communities were studied in the proximity of seven sewage outfalls with differences in flow and wastewater treatment in the Western Mediterranean Sea. Redox potential was the only abiotic parameter which showed a pattern related with distance to outfalls, whereas granulometry, percentage of organic matter, metal concentrations or pH did not show changes related with outfall presence. Benthic community analysis proved to be the most suitable monitoring tool. The results showed that the highest impacted stations corresponded with those closest to outfall with the highest flow and only pre-treatment, whilst a decrease of this tendency was detected in the locations where secondary treatment takes place. Meta-analysis showed a decrease of amphipods and tanaids abundance as well as redox potential, as the indicators with the clearest response to sewage presence.