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Human activities are considered among the main producers of any kind of pollution. This paper, through a Driver-Pressure-State-Impact-Response (DPSIR) model analyses, focuses on the evaluation and assessment of the existing practices, procedures, and results obtained in order to determine whether the municipal solid waste (MSW) management implemented in three major Greek municipalities in the greater urban area of Attica, namely the municipalities of Nea Smirni, Vyronas, and Piraeus, could be considered viable and sustainable. The evaluation indicated that MSW in Greek cities have reduced over the last years, also suggesting a steady downward trend, which could be considered consistent with that of the per capita incomes in Greece due to the extended economic austerity, while at the same time the recycling indicator seems to optimize. The results are very useful for policymakers and local authorities towards taking actions related to the targets set from the circular economy strategies as well as the targets set from United Nation Development Program and the European Green Deal Strategy.