In the present study, we investigated the applicability of the Pearson-Rosenberg (P-R) conceptual model describing a generalized pattern of response of benthic communities in relation to organic 25 enrichment to a specific typology of marine systems, i.e. coastal lagoons. The study was performed with independent matching data on the structure of macrobenthic communities and total organic carbon (TOC) content of sediments obtained from 349 stations representing three of the most ecologically and economically relevant coastal lagoons in the Mediterranean Sea, i.e. the lagoons of Cabras, Orbetello, and Venice (Italy). Consistent with P-R model predictions, we 30 found two different peaks in benthic diversity and abundance at low (> 2.5-5 mg g -1 ) and high (> 25-30 mg g -1 ) TOC ranges, respectively. We identified TOC thresholds indicating that risks of reduced benthic diversity from organic loading and other associated stressors in sediments should be relatively low at TOC values < about 10 mg g -1 , high at TOC values > about 28 mg g -1 , andintermediate at values in-between. Predictive ability within these ranges was high based on 35 results of re-sampling simulation. Our results validate and support a prior independent study that identified similar TOC thresholds for assessing risks of benthic impacts in samples from seven coastal regions of the world. While not a measure of causality, it is anticipated that these TOC thresholds should serve as a general screening-level indicator for evaluating the likelihood of reduced sediment quality and associated bioeffects in such eutrophic systems of the 40 Mediterranean Sea, which also are exposed to a variety of stressors from multiple human uses.