Liming and (or) application of specific nutrients have been proposed as countermeasures to the acidification of forest soils in southern Sweden. The aim of this study was to investigate whether stem growth, crown transparency, and needle element concentrations of Picea abies (L.) Karst. growing on acidic mineral soils in southwestern Sweden are affected by additions of lime, lime plus P and K, or N in low doses (treatments: CaPK, Ca, N, CaPKN, and 2Ca2P2K). During the 5-year observation period following treatment with CaPKN there was a tendency to increased stem growth (possibly overestimated). The most plausible cause of this growth response was increased N availability in the soil, although the possibility that there was a minor effect of the PK application could not be excluded. None of the treatments affected the crown transparency. Several significant changes in elemental concentrations of current-year needles were associated with the treatments. The control plots in the experimental stands showed no severe damage or nutrient deficiencies despite the relatively acidic soils. These findings, together with the small treatment effects, suggest that there is no acute need for liming and (or) PK addition in P. abies stands on similar sites in southwestern Sweden.