Benthic foraminifera are sensitive to environmental changes and widely used as tools to monitor pollution. Rising numbers of deformed tests are often used as indicator for elevated levels of heavy metals, but little is known about the relation between heavy metal incorporation into foraminiferal tests and the formation of test deformities. Here, two sediment cores from the south-eastern North Sea are compared, regarding the occurrence of deformed foraminiferal tests, foraminiferal test chemistry (ICP-MS) and bulk sediment Pb content (XRF). The total abundance of deformed foraminiferal tests seems not to align temporarily with historical heavy metal pollution. Therefore, we suggest that foraminifera react with test deformation to other environmental stressors than the studied heavy metals. Test chemistry reflects historical increased bulk sediment heavy metal content, despite a slight temporal offset. We propose that Pb (and Cd) are only incorporated into foraminiferal tests above a yet to be defined threshold of pollution.