In this study, results about sludge stabilization and pollutant monitoring in a reed bed system (RBSs) situated in Central Italy (Colle di Compito, 4,000 p.e.) were presented. In order to evaluate the process of sludge stabilization, parameters that highlighted the biochemical, chemical and chemico-structural properties of organic sludge matter have been followed during the entire period of operation (7 years). Moreover, the trend of heavy metals (bioavailable fractions and total content) and toxic organic compounds (LAS, NPE and DEHP) was monitored during all the period. The trend of all parameters related clearly demonstrated that sludge stabilization successfully proceeded in RBS. Moreover, through statistical analysis modelling, it is possible to determine how the stabilization process proceeded in terms of organic matter mineralization and humification, and how these processes influenced the content of pollutant compounds present in the stabilized sludges.