Field research was carried out to assess the effects of the application of reclaimed municipal wastewater on rice cultivation in Thessaloniki, Greece during a 2-year period (1999-2000). Effects on production cost, soil composition, and health risk were examined. A randomized complete block design was used for the paddy field with three treatments and four replicates. The treatments were (1) river irrigation water with N-P fertilization, (2) reclaimed wastewater irrigation with surface N fertilization, and (3) reclaimed wastewater irrigation without fertilization. The results showed that the total production cost decreased 8.8% and 11.9% by applying the second and third treatments, respectively, compared to the first treatment, without significant differences in the agronomic and rice quality traits. Soil composition showed discrepancies between the 2 years and the three treatments, whereas the pathogens of the reclaimed wastewater and rice tissues posed a low human risk when taking the needed precautions.