Low noise total integrated scattering is introduced as a versatile tool for quantitative ensemble average analysis of hillock formation in thin metal films over areas up to 1 mm2. With subangstrom roughness sensitivity and real-time capabilities, it provides an efficient means for non-contact studies of processes influencing thin film roughness. As an example, aluminium films on silicon wafers, heated from 40-degrees-C to 220-degrees-C, have been analysed in real time. A very distinct onset for hillock formation is found at about 75-degrees-C, and rapid annealing shows the formation of hillocks to take place on the time scale of a few minutes. Further analysis using subangstrom-sensitive stylus profiling and high resolution scanning and transmission electron microscopy reveals the microtopographical properties of hillocks and voids created by the thermally induced stress in the aluminium films.