Studies of radioactivity in the Laurentian Great Lakes are reviewed to evaluate the impact of radionuclide dissemination on the world's foremost freshwater aquatic ecosystem. The status of radiologically-degraded areas is also reported. Significant amounts of radioactivity are stored in the basin, which has numerous nuclear reactors as well as uranium mine waste areas. The prevailing low levels of artificially-produced radionuclides, arising largely from previous fallout inputs, provide very little radiation dose to the area residents consuming lake water. The interlake transport of radionuclides is adequately described by existing models, though some refinement of the source term is needed. Revised estimates of fallout over each lake are given, but no data are available to estimate drainage basin contributions. Only limited information is available on the dispersal of radioactive pollutants. The influence of chemical parameters on radionuclide cycling has been extensively investigated in Lake Michigan and, to a lesser degree, in Lake Ontario. The need for developing a radiological objective for fish becomes apparent from an assessment of the very few data collected thus far on the biological and dosimetric aspects. Several research and monitoring needs are also identified.