Once a wastewater treatment plant (WWTP) exceeds its capacity, it is necessary to discharge a proportion of the flow to watercourses through combined sewer overflow (CSO) structures. In coastal urban areas, CSO spills may occur in seawaters. The present study analyses the effects of these spills into urban coastal bathing areas, through a qualitative survey-based analysis in Badalona and Barcelona, focusing on stakeholders' reputation and image involved in the sewer system and beaches management (i.e. intangible damages) and the consequences for the economy (i.e. tangible damages). The direct relation between CSO spills and impacts on restaurants’ revenues is not observed since business owners in Badalona and Barcelona do not perceive any economic impact due to these events. Their main concern is the municipality’s image, which might affect the citizens’ view of the management of the responsible agents and indirectly, the tourist sector, especially in Barcelona. Residents perception in this matter is remarkably different in both cities. In Badalona, residents know the problem and even the body responsible for setting the red flag and the beaches closure (i.e. the municipality). In Barcelona, though, residents are quite confused about this. The complexity in terms of competencies in sewer systems management requires a better communication campaign for the citizens to avoid misunderstandings and unnecessary loss of trust in the City Council. Decision-makers and stakeholders should be interested in understanding the perception of affected users upon these events to take appropriate measures to enhance awareness programs or measures to reduce overflows.