Reducing the costs and environmental impacts of sludge management is currently one of the main challenges faced by the wastewater treatment sector. Anaerobic digestion followed by land application has been widely endorsed as a low-impact approach to sludge management, mainly due to the recovery of biogas and the valorization of digestate. However, the influence that the operational conditions of digestion and the management practices of land application can have over the environmental performance of this strategy has been scarcely studied. Furthermore, most of the previous studies dealing with the environmental assessment of this strategy use simplified methods for estimating emissions after land application of sludge, and the lack of systematic accounting of these environmental flows might significantly affect the validity and comparability of the results. Therefore, this work performed an assessment of the influence that 4 relevant practices can have over the environmental impacts of this approach in the context of south-central Chile, providing a mass-balanced inventory for nitrogen, phosphorus and heavy metals in soil based on the ad hoc implementation of models developed for agricultural Life Cycle Assessment (LCA). A total of 16 scenarios were defined and 10 impact categories were evaluated, with the results showing that the environmental impacts were greatly influenced by the variables under study. Overall, solids retention time and the inclusion of pre-treatment mainly influenced climate change, fossil resource depletion and terrestrial ecotoxicity potential, while sludge application rate influenced the eutrophication, water ecotoxicity and human toxicity categories. The type of crop in the receiving soil was a significant driver behind the differences observed in the human toxicity category, which showed the highest variation and relevance in the final weighted result. The results clearly highlight the relevance of using context specific data as well as of quantifying the fate of nutrients, metals and heavy metals during LCA of sludge management. Based on the results, some policy and decision-making recommendations are formulated to optimize the environmental performance of sludge digestion and land application.