Exposure of coral reefs to river plumes carrying increasing loads of nutrients and sediments is a pressing issue for coral reefs around the world including the Great Barrier Reef (GBR). Laboratory experiments were conducted to investigate the eVects of changes in inorganic nutrients (nitrate, ammonium and phosphate), salinity and various types of suspended sediments in isolation and in combination on rates of fertilisation and early embryonic development of the scleractinian coral Acropora millepora. Dose-response experiments showed that fertilisation declined signiWcantly with increasing sediments and decreasing salinity, while inorganic nutrients at up to 20 M nitrate or ammonium and 4 M phosphate had no signiWcant eVect on fertilisation. Suspended sediments of ¸100 mg l ¡1 and salinity of 30 ppt reduced fertilisation by >50%. Developmental abnormality occurred in 100% of embryos at 30 ppt salinity, and no fertilisation occurred at ·28 ppt. Another experiment tested interactions between sediment, salinity and nutrients and showed that fertilisation was signiWcantly reduced when nutrients and low concentrations of sediments co-occurred, although both on their own had no eVect on fertilisation rates. Similarly, while slightly reduced salinity on its own had no eVect, fertilisation was reduced when it coincided with elevated levels of sediments or nutrients. Both these interactions were synergistic. A third experiment showed that sediments with diVerent geophysical and nutrient properties had diVerential eVects on fertilisation, possibly related to sediment and nutrient properties. The Wndings highlight the complex nature of the eVects of changing water quality on coral health, particularly stressing the signiWcance of water quality during coral spawning time.