Abstract The review aimed to evaluate the sustainability of wood biomass burning for energy production and its contribution to the air quality and impact to human health in different European cities and to highlight the most important steps to lower particulate aerosol emissions. The contribution of residential wood combustion resulted to be relevant to the particulate matter (PM) mass, with great discrepancies in biomass burning contribution to PM mass in European cities due to the different investigated seasons and different degree by the use of wood as fuel for residential heating. The importance of source apportionment of atmospheric aerosol for the implementation of effective strategies to control PM emissions and assess health effects due to air quality was also evidenced. Two major issues emerged from the critical literature analysis: the need of high-quality emission inventories and European policy strategies, such as replacement of old burning devices with improved lower emission ones.