Anthropic activities are responsible for the increase in environmental contamination, especially in aquatic systems, demanding studies to assess and monitor contamination levels in different water bodies. We have done a chemical characterization of eleven sediments in order to evaluate the level of contamination by domestic sewage from the Capibaribe River, between the cities of Santa Cruz do Capibaribe and Toritama in the state of Pernambuco, Brazil. The classical analyses were performed, as well as the determination of sterol biomarkers using liquid chromatography coupled to tandem mass spectrometry. Sterol ratios corroborated the presence of fecal-derived organic matter, mainly in the sediments collected in regions of higher population occupation. The multivariate statistical analysis clearly showed the regions from the most contaminated to the least contaminated, indicating the severe contamination by domestic sewage in the region. To the best of our knowledge, this is the first study to assess anthropic contamination of the Capibaribe River by using sterol biomarkers and classical analyses in an integrative data interpretation. This can be helpful when making decisions about preventive and corrective actions for human health concerns. systems bodies Pernambuco Brazil performed spectrometry fecalderived fecal derived matter occupation region knowledge interpretation concerns