In Emilia-Romagna region (Northern Italy) the integrated waste treatment system consists of material collection and recycling, incineration with energy recovery and landfill as final disposal. In particular, at least one incineration plant is working in almost every province of the region. In this work, a screening life cycle assessment approach is applied to seven different incinerators, to compare the different plant technologies and identify the most relevant environmental impacts and processes. The characterization method used in the life cycle impact assessment step is Eco-indicator 99. The functional unit is 1 ton of waste input. As a first result, it can be noted that while the combustion systems are rather similar, the main variables are ascribable to gas cleaning options and efficiency in energy recovery, which result in quite different environmental performances. Among heavy metals, particular attention must be paid to Cd and As, due to their high toxicity, despite their low quantities. The impact due to dioxin emission is orders of magnitude lower than other contaminants (e.g., heavy metals). Furthermore, a catalytic system could be useful for a complete removal of organic contaminants and for a more effective abatement of nitrogen oxides. Finally, the environmental impact assessment sorts the various plants according to their age, i.e., the most recent plants provide the best environmental performances for the same quantity of combusted waste.