Household dust was collected from 82 residential homes within the Sydney metropolitan area. The geometric mean concentrations of metals in the household dust were Cd, 1.9μg/g; Cr, 64.3μg/g; Cu, 103μg/g; Fe, 2740μg/g; Mn, 54μg/g; Ni, 15.6μg/g; Pb, 85.2μg/g; and Zn, 437μg/g. Differences in household income level, dwelling type, or the number of occupants were not statistically significant for the majority of metals. The exceptions were higher amounts of Zn (P=0.033) and Fe (P=0.047) found in households with only 1-2 residents compared to those with 3-4 or >4 residents, and slightly higher Mn levels (P=0.033) were found in low-income households (AUD$0-30,000/year). Region was highly significant for Pb levels in Sydney but not significant for other metals. Large variations in Pb levels were found in household dust (16-16,600μg/g), with the inner-west region associated with significantly higher Pb levels (P<0.001). Comparisons with a study from a decade earlier have revealed that the household dust Pb levels have remained constant despite substantial improvements in air quality in the inner-west area of Sydney. New epidemiological studies are required to determine whether Pb blood levels have also remained unchanged and whether accumulated Pb in household dust represents a significant health risk to children in this region.