Synthetic phenolic antioxidants (SPAs) are one group of widely used additive chemicals, which have not yet had focused attention except for a few compounds such as 2,6-di-tert-butyl-4-methylphenol (BHT). In this study, the occurrence and composition profiles of 12 frequently used SPAs and three BHT metabolites were investigated in fifty-six sludge samples collected from individual wastewater treatment plants in China. Eleven SPAs were positively found in the sludge samples, in which, to our knowledge, eight SPA compounds were identified for the first time in the environment. BHT, 4-tert-octylphenol (4-tOP), and 2,4,6-tri-tert-bultylphenol (AO 246) were the most dominant SPAs in the sludge at mean concentrations of 4.14 μg/g, 374 ng/g, and 98.1 ng/g d.w. (dry weight). Meanwhile, three BHT metabolites, including 3,5-di-tert-butyl-4-hydroxybenzaldehyde (BHT-CHO), 2,6-di-tert-butyl-1,4-benzoquinone (BHT-Q), and 2,6-di-tert-butyl-4-hydroxy-4-methyl-2,5-cyclohexadienone (BHT-quinol), were also found in most of the samples (>98.2%) with mean concentrations of 141, 562, and 225 ng/g d.w., respectively. The activated sludge system (anaerobic, anoxic, and oxic tanks) of a wastewater treatment plant was further investigated for the removal efficiencies of the SPAs. High removal efficiencies (80.1−89.2%) were found for the six detected SPAs in the aqueous phase, while generation of large proportions of the three BHT metabolites was also observed.