The occurrence of polycyclic aromatic hydrocarbons (PAHs) in various sludge types from a moderate-big wastewater treatment plant in the Lombardy region, Italy, was studied. Pyrene was continuously the most abundant PAH, whereas anthracene was the PAH with the lowest concentrations. Average sigmaPAH concentrations ranged between 2405 ng/g (dry weight) in the secondary sludge and 2645 ng/g (dry weight) in the final sludge. A mass balance estimation between the various sludges showed no evident degradation of PAHs. The final sludge PAH concentrations were constantly at around half of the maximum permissible limit set by the European Union for use of sewage sludge in agriculture (6 mg/kg). The highest PAH concentrations were observed during the summer periods. Finally, two approaches were used to estimate the raw wastewater concentrations based on the sludge PAH concentrations. The values obtained did not differ much from the average concentrations measured at the influent wastewaters.