In the society development towards increased ecological sustainability, decreasing landfill and increasing reuse of sewage sludge are of high priority. Within the European Union, a revision of the regulations for reuse of sewage sludge in the Sewage Sludge Directive 86/278/EEC is in progress. From a Nordic point of view, it has been considered that sludge fertilization of conifer forests might be an important option for sewage sludge nutrient reuse. Therefore, the PA-group under the Nordic Council of Ministers has commissioned the Swedish University of Agricultural Sciences, Department of Silviculture, Umeå, to make a compilation of existing research results from sewage sludge fertilization of conifer forests in the Nordic countries and in North America, for determination of the possibilities for the use of sludge as forest fertilizer, and as an input to the elaboration process of the new Sludge Directive.