Heavy metals such as lead, mercury, cadmium, zinc and copper are among the most important pollutants because of their non-biodegradability and toxicity above certain thresholds. Here, we review methods for sensing heavy metal ions (HMI) in water samples using screenprinted electrodes (SPEs) as transducers. The review (with 107 refs.) starts with an introduction into the topic, and this is followed by sections on (a) mercury-coated SPEs, (b) bismuth-coated SPEs, (c) gold-coated SPEs (d) chemically modified and non-modified carbon SPEs, (e) enzyme inhibition-based SPEs, and (f) an overview of commercially available electrochemical portable heavy metal analyzers. The review reveals the significance of SPEs in terms of decentralized and of in situ analysis of heavy metal ions in environmental monitoring.