Concerns have emerged regarding the presence of human-use pharmaceuticals in aquatic environments. We investigated the status of contamination by 29 human-use pharmaceuticals as well as wastewater indicator compounds, fecal sterols and the synthetic endocrine disruptor nonylphenol, in marine sediments from Masan Bay, one of the most contaminated bays in Korea as a result of untreated and/or treated sewage. Among the 29 pharmaceuticals determined, 10 including antacid, analgesic, antibiotic, and antipruritic compounds, and metabolites of caffeine and nicotine were detected in all sediment samples. Cimetidine, acetaminophen, and 1,7-dimethylxanthine were the most frequently detected pharmaceuticals (frequency > 50%), and at high concentrations. The highest concentrations and detection frequencies were at stations located close to wastewater treatment plant (WWTP) outfalls and at the river mouth. The spatial distributions of pharmaceutical were significantly correlated with those of wastewater compounds. These results indicate that occurrence of the pharmaceuticals in marine environments is likely associated with direct sewage inputs, such as WWTP effluents and with other sewage-influenced sources, such as river discharge.