Spain is one of the main municipal sewage sludge producers of Europe. This paper aims to agronomically characterise different types of sewage sludge stabilised by different methods (anaerobically digested, composted, and pelletised) and deliver policy recommendations from the results of this characterisation. Anaerobic sewage sludge quality is found to be better in plants with a lower volume of water processing. Composted sludge shows the best quality from a heavy metal point of view, but its low available nitrogen content increases the input of heavy metals when spread, as compared to digested or pelletised sludge. Pelletised sludge has higher heavy metal content than anaerobically digested sludge. Despite the good quality of the sludges, future regulations, especially with regard to Cd levels, will limit the use of this waste in agriculture.