In 2008 the Italian government classified the Bussi sul Tirino area (Central Italy) as Site of National Interest destined to remediation which, unfortunately, has not yet begun. The decision followed >20 years of illegal dumping of industrial wastes, lasting from 1984 to 2005, that generated the biggest illegal toxic waste disposal site in Europe. The contamination profile of the site was mainly characterized by PCDD/Fs, PCBs, PAHs, chlorinated solvents, Hg, and Pb. Due to the health concern of the population and local authorities, an extensive monitoring and biomonitoring campaign was carried out in 2017–2018, checking the site-specific pollutants in local food (free-range hens' eggs, milk from grazing sheep and goats, wild edible mushrooms, and drinking water), environmental (air and freshwaters) and biological (human urine) matrices. A total of 314 samples were processed, obtaining 3217 analytical data that were compared with regulatory limits, when available, and values reported by international literature.The sum PCDD/Fs and DL-PCBs ranged from 0.24 to 3.6 pg TEQ g−1 fat, and from 0.46 to 8.3 pg TEQ g−1 fat, respectively in milk in eggs, in line with the maximum levels established by CE Regulations except for an egg sample. As regards PAHs, all our results were lower than the literature data, as well as for Hg and Pb. Outdoor air showed levels of chlorinated solvents ranging from <LOD to 36 μg m−3, and freshwaters from 0.21 to 2.8 μg L−1. All drinking water samples resulted compliant with the maximum levels established by the current EU directive.Despite the severe pollution of the illegal dumping site and the remediation not yet carried out, the local environment and the population living in Bussi and surroundings seem not to be affected by significant exposure to the toxics characterizing the landfill.