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Cement industry production and its materials demand are growing every year, leading to a CO2 and energy footprint increase. The drinking water production is increasing in water treatment plants due to the population growth, raising in turn the waste materials produced. Since these wastes are mainly managed in landfills, this preliminary research work is focused on providing a new sustainable option for valorisation processes, based on the environmental demand of the cement industry. Alkali-activated cements (AACs) can become a proper option to give the water treatment sludge a new life cycle, as they can compete with ordinary Portland cement (OPC) both in properties and sustainability. The main purpose of this study was to evaluate and formulate different AACs based on the use of both raw clay and the water treatment sludge (WTS), as precursors. The raw clay was used without previous thermal dehydroxylation treatment, and the WTS, an aluminosilicate-rich waste, was used partially replacing the raw clay in the AACs formulations. Both precursors and the formulated AACs were characterized by X-ray diffraction (XRD), X-ray fluorescence (XRF) and Fourier-transformed infrared spectroscopy (FT-IR). In addition, the compressive strength, the chemical stability (hydrolytic degradation), and the environmental impact for each AACs formulation were also determined. The results showed that AACs specimens formulated with 20 wt% of WTS (replacing the raw clay) provided the best results, considering both compressive strength and resistance to hydrolytic degradation. Then, it is possible to formulate AACs using raw clay, without prior thermal dehydroxylation treatment, and WTS as precursors. © 2021 Elsevier B.V.