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Covering 55% of Canada’s total surface area and stretching from coast to coast to coast, the Canadian boreal zone is crucial to the nation’s economic and ecological integrity. Although often viewed as relatively underdeveloped, it is vulnerable to numerous stressors such as mining, forestry, and anthropogenic climate change. Natural archives preserved in lake sediments can provide key insights by quantifying pre-disturbance conditions (pre-1850 CE) and the nature, magnitude, direction, and speed of environmental change induced by anthropogenic stressors over the past ~150 years. Here, we paired a review of paleolimnological literature of the Canadian boreal zone with analyses of published sediment core data to highlight the effects of climate change, catchment disturbances, and atmospheric deposition on boreal lakes. Specifically, we conducted quantitative syntheses of two lake health indicators: elemental lead (Pb) and chlorophyll a. Segmented regressions and Mann-Kendall trend analysis revealed a generally increasing trend in elemental Pb across the boreal zone until ~1970 CE, followed by a generally decreasing trend to the present. Snapshot comparisons of sedimentary chlorophyll a from recent and pre-industrial sediments (i.e., top-bottom sediment core design) revealed that a majority of sites have increased over time, suggesting a general enhancement in lake primary production across the boreal zone. Collectively, this body of work demonstrates that long-term sediment records offer a critical perspective on ecosystem change not accessible through routine monitoring programs. We advocate using modern datasets in tandem with paleolimnology to establish baseline conditions, measure ecosystem changes, and set meaningful management targets.