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Systematically analyzing the problem of heavy metals in the municipal sludge, a meta-analysis of nine metals was undertaken to distinguish the sources and sinks of those with the impact of their accumulation on the environment. Municipal sludge was rich in N, P and K nutrients, was found to contain heavy metals comprising the descending order Zn > Mn > Cu > Cr > Pb > Ni > As > Cd > Hg. The forms, in which heavy metals accumulated in geographical regions, were characterized. The geographical distribution of heavy metals in the sludge showed a significant difference, with higher accumulation in Eastern and Southern regions, however, the risk evaluations showed the higher risk of heavy metals accumulation in Eastern and Western regions. Agricultural, industrial and traffic activities, and storm water pipeline sediments were identified as the main sources of heavy metals in the sludge. The correlation analysis elucidated the role of the total organic carbon in the accumulation of heavy metals in sludge. Municipal sludge is endowed with resource properties due to the detection of heavy metal contents thresholds in household products and its own resource-attributable enrichment behavior, which requires deduction of environmental risks., (Copyright © 2022 Elsevier B.V. All rights reserved.)