To gain a comprehensive understanding of the potential environmental and public health implications of current fecal sludge (FS) handling practices in developing countries, investigating its composition is crucial. This study addresses quantitatively the variability of common water and wastewater parameters, parasite eggs and pollutants of concern, such as heavy metals, across different FS handling technologies. Additionally, it presents a qualitative screening of other micropollutants such as pharmaceuticals, hormones and pesticides, along with an assessment of resource recovery potential. Based on sanitation records provided by the local government, FS dislodging practices were categorized into six types (septic tanks and pits for institutions, septic tanks and pits for private houses and septic tank and pit for communal latrines). The quality of FS across these dislodging types was evaluated using 31 FS samples directly obtained from FS dislodging trucks in Ethiopia. The study found that the average moisture content of the sludge was 98.7 %, with a calorific value of 16 MJ/kg of total solids (TS), indicating its potential for water and energy recovery. Furthermore, the study revealed a prevalence ranking of Ascaris lumbricoides egg > Taenia egg > Hookworm egg> Hymenolepis nana egg> Enterobius vermicularis egg> Trichuris trichiura egg, with a mean value of 689 eggs/L of fecal sludge and a 100 % prevalence of Ascaris lumbricoides eggs. Additionally, 14 heavy metals with mean concentrations ranging between 0.002 and 6.25 mg/L were identified. For most of these metals, the concentration was significantly positively correlated with the TS content. Moreover, in this study 32 drugs and their derivatives, 6 hormones, and 1 insecticide have been detected. Overall, the compositional profile of the FS in this study indicates that improper handling of the sludge may pose potential public health and environmental threats. However, it also highlights the valuable potential of water and energy recovery from FS.