Previous research has shown that natural gas (NG) leaks from residential appliances are common, affecting greenhouse gas emission inventories and indoor air quality. To study these implications, we collected and analyzed 587 unburned NG samples from 481 residences over 17 North American cities for hydrocarbons, hazardous air pollutants, and organosulfur odorants. Nearly all (97% of) gas samples contained benzene (between-city mean: 2335 ppbv [95% CI: 2104, 2607]) with substantial variability between cities. Vancouver, Los Angeles, Calgary, and Denver had at least 2x higher mean benzene concentrations than other cities sampled, with Vancouver exhibiting a nearly 50x greater mean benzene level than the lowest-concentration city (Boston). We estimate that current U.S. and Canadian emissions inventories are missing an additional 25 000 [95% CI: 19 000, 34 000] and 4000 [95% CI: 3700, 5200] lbs benzene yr−1 through downstream NG leakage, respectively. Concentrations of odorants added for leak detection varied substantially across cities, indicating a lack of standardization. Houston, for instance, had 5x higher mean tert-butyl mercaptan levels than Toronto. Using these odorant measurements, we found that methane emissions as high as 0.0080–0.28 g h−1 and indoor benzene enhancements 0.0096–0.11 ppbv could go undetected by persons with an average sense of smell, with large uncertainties driven by smelling sensitivity, gas composition, and household conditions. We also observed larger leaks (>10 ppm ambient methane) in ∼4% of surveyed homes, confirming that indoor leakage occurs at varying degrees despite the presence of odorants. Overall, our results illustrate the importance of downstream NG composition to understand potential emissions, exposures, and odor-mediated leak detection levels. Given methane’s global warming potency, benzene’s toxicity, and wide variation in smelling abilities, our findings highlight the deficiencies regarding the sole reliance on odorization to alert and protect all occupants from indoor leaks.