The spice sumac is prepared from the fruit of the small deciduous tree Rhus coriaria L. (family Anacardiaceae), cultivated mainly in the Mediterranean region, North Africa, and the Middle East. The genus Rhus contains well over a hundred individual species of flowering plants, some varieties of which are edible, including not only R. coriaria but also R. glabra L. (or smooth sumac) used by the indigenous peoples of North America, Rhus typhina L. (staghorn sumac), and R. aromatica Aiton (fragrant sumac), among others. In the Middle East and Turkey, sumac is commonly included in food preparations to impart a tangy, citruslike flavor. Primarily in the Middle East, sumac is used extensively in traditional medicine. Sumac extracts may be used to treat diarrhea, diseases of the mouth and throat, gastrointestinal distress, inflammatory conditions of the skin, and pain, to name a few. Recent human studies examining the potential health benefits of sumac are limited and mainly explore the actions of R. coriaria toward cardiometabolic risk factors. This narrative overview summarizes these clinical trials, as well as relevant, associated animal experiments, and suggests opportunities for future research. Nutr Today 2023;58:77-83 T he spice sumac is prepared from the fruit of the shrub or small deciduous tree R. coriaria L. (family Anacardiaceae) that grows mainly in the Mediterranean region, North Africa, and the Middle East. The word sumac is derived from the Arabic word sumaq, which means red or dark red, a term that aptly describes the col-ored fruit of this flowering plant (Figure 1). R. coriaria is also known as Sicilian sumac and tanner's sumac due to the use of its tannin-rich leaves and bark in leather tanneries. 1,2 Moreover, black and yellow dyes are prepared from these leaves and bark. A relative of this plant, Rhus vernix or Toxicodendron vernix Kuntze (R. vernix L.) also called poison sumac, is not edible and is well known to produce an allergic skin reaction upon contact. However, the genus Rhus contains well over a hundred individual species of flowering plants, some varieties of which are edible. Besides R. coriaria, other examples are R. glabra L. (or smooth sumac) used by the indigenous people of North America, R. typhina L. (staghorn sumac), R. integrifolia (Nutt.) Benth. & Hock. f. ex. Rothr (lemonade berry), R. aromatica Aiton (fragrant sumac), R. ovata S. Watson (sugar bush), and R. trilobata Nutt. (skunkbush sumac, sourberry, three-leaf sumac, squawbush). [3][4][5] In the Middle East and Turkey, sumac is widely added to diverse food preparations. The fruits of this plant are composed of compact clusters of red berries that are dried and ground to yield the dark red/purple spice, the taste of which has been described as tangy, astringent, and lemony. The Arabic spice blend Za'atar has sesame seeds, thyme, and sumac as core ingredients, with other possible components such as oregano, marjoram, coriander, and cumin as additions. In Turkish piyaz salad, the sumac fruit is ground with salt, mixed with oliv...