Recent studies have demonstrated that the toxicity of divalent cationic metals (cadmium, copper, lead, nickel, and zinc) in sediments can be controlled through binding to acid-volatile sulfide (AVS). When the molar concentration of AVS exceeds that of the metals (i.e., the metal/AVS ratio is less than unity), they exist predominantly as insoluble metal sulfides, which presumably are not biologically available. Thus, at metal/AVS ratios less than 1, toxicity of sediment-associated metals to benthic macroinvertebrates has not been observed. However, bioaccumulation may provide a more direct assessment of contaminant bioavailability than the presence or absence of toxicity. The purpose of this report is to comprehensively review available literature on metal bioaccumulation versus sediment metal/AVS relationships to further examine the tenet that AVS controls metal bioavailability. In all, 12 studies were evaluated; these ranged from short-term (10-d) laboratory experiments with metal-spiked or field-collected sediments containing cadmium, copper, lead, nickel, and/or zinc to long-term (>1-year) field studies with sediments spiked with cadmium or zinc. Test organisms included mollusks, oligochaetes, polychaetes, amphipods, and midges. The preponderance of studies indicated reduced accumulation of metals at sediment metal/AVS ratios of less than 1. However, there were exceptions to this general observation, two of which occurred in short-term laboratory experiments with cadmium- or nickel-spiked sediments. In these studies there appeared to be a linear accumulation of metals with increasing sediment metal concentrations irrespective of the metal/AVS ratio. Although there is experimental evidence suggesting that significant bioaccumulation of metals does not occur when there is sufficient AVS available to bind them, the existence of at least some data to the contrary indicates the need for further research relative to factors controlling the bioaccumulation of metals from sediments.