The first flush (FF) phenomenon is commonly associated with a relevant load of pollutants, raising concerns about water quality and environmental management in agro-urban areas. An FF event can potentially transport contaminated water into a receiving water body by activating combined sewer overflow (CSO) systems present in the drainage urban network. Therefore, accurately characterizing FF events is crucial for the effective management of sewer systems and for limiting environmental degradation. Given the ongoing controversy in the literature regarding the delineation of FF event occurrences, there is an unavoidable necessity for further investigations, especially experimental-based ones. This study presents the outcomes of an almost two-year field campaign focused on assessing the water quantity and quality of two combined sewer systems in Northern Italy. For this purpose, various hydro-meteorological variables, including precipitation, flow rate, temperature, and solar radiation, in addition to water quality analytics, were measured continuously to capture stormwater events. Throughout the monitoring period, sixteen stormwater events were identified and analyzed using five indices usually adopted in the literature to identify FF occurrences. The results indicate that there is a strong positive correlation between the mass first flush ratios calculated for nutrients and three factors, including maximum rainfall intensity, maximum flow rate, and antecedent dry weather period. Furthermore, rainfall duration was found to possess a strong negative correlation with the mass first flush ratios calculated for nutrients. However, for the same rainfall event, the occurrence of FF has never been unanimously confirmed by the indices examined in this study. Moreover, different macro-groups of pollutants can behave differently. Thus, it becomes apparent that relying solely on a priori analyses, without the support of data from experimental monitoring campaigns, poses a risk when designing actions for the mitigation of FF occurrences.