We evaluate the long-term performance of a vegetated drainage ditch (VDD) treating domestic sewage with respect to heavy metal/metalloid (HM/M) accumulation in sediments, plants and water. VDD sediment contained significantly higher macro and trace elements compared to an agricultural ditch (AD) sediment. However, concentrations of HM/Ms in VDD sediment were below the ranges considered toxic to plants. Most HM/Ms were efficiently removed in the VDD, whereby removal efficiencies varied between 11% for Al and 89% for K. Accumulation of HM/Ms varied among species and plant parts, although sequestration by plants represents only a small proportion (10,000mgkg −1 of Zn or Mn). Nevertheless, the high translocation factor (TF) values for Mn, Ni, Cu, Zn, Na, Mg, P, K and Ca in the ditch plants make them suitable for phytoextraction from water/soil, while the low TF values for Pb, Cd, As, Fe, Cr and Al make them suitable for their phytostabilization.