Very Thin Asphalt Overlay (VTAO) has been introduced as an alternative to traditional thick overlays, seal coats, and micro-surfacings. Nonetheless, there are some challenges that still remain regarding the application of VTAOs (such as mixture type, cohesiveness, wear resistance, cracking and durability), particularly in heavy traffic urban areas. Therefore, this paper presents an extensive comparative evaluation of the mechanical performance, durability and safety issues (cohesiveness, adhesiveness, ageing, cracking, plastic deformation, permeability, macrotexture, skid and wear resistance, and fuel resistance) of a VTAO (20 mm thick) and a high performance BBTM 11B (35 mm thick), commonly used as an open-graded mixture for pavement overlays. The results demonstrated that VTAO is an appropriate material for urban pavements as it provides good durability and resistance to the propagation of defects. Nonetheless, further studies are required to improve its behavior under distresses related to plastic deformations and safety properties.