Background: Given the diverse cigar market and limited data on biomarker patterns by cigar type, we compared biomarkers of nicotine and tobacco toxicants among cigar smokers and other groups.Methods: Using Wave 1 urinary biomarker data from 5,604 adults in the Population Assessment of Tobacco and Health (PATH) Study, we compared geometric mean concentrations among cigar-only smokers (all cigars and separately for traditional, cigarillo, and filtered cigars), cigarette-only smokers, dual cigar/cigarette smokers, and never users of tobacco. We calculated geometric mean ratios comparing groups with never users adjusting for sex, age, race/ethnicity, education and creatinine.Results: Some day cigar-only smokers had lower biomarker concentrations than every day cigar-only smokers, but higher than never users. Every day cigar-only smokers (n ¼ 61) had lower TNE-2 (cotinineþtrans-3 0 -hydroxycotinine) compared to every day cigarette-only (n ¼ 2217; P < 0.0001) and dual cigar/cigarette smokers (n ¼ 601; P < 0.0001). Several biomarkers, including NNAL (NNK metabolite) and CYMA (metabolite of acrylonitrile), were comparable in these groups. In exploratory analyses, every day filtered cigar-only (n ¼ 7) smokers had higher biomarker concentrations compared with every day traditional cigar-only smokers (n ¼ 12) and cigarillo-only smokers (n ¼ 24). Every day smokers of each cigar type were similar to exclusive cigarette smokers. For some biomarkers, particularly for every day filtered cigar-only smokers, concentrations were higher.Conclusions: For some biomarkers, every day cigar-only smokers were comparable with every day cigarette-only smokers. Exploratory analyses suggest that biomarkers vary by cigar type with every day filtered cigar-only smokers having the highest concentrations.Impact: High exposure to harmful constituents among cigar smokers is a continuing health issue. a Geometric mean ratios are adjusted for sex, age, race/ethnicity, educational attainment, and creatinine. c Greater than 40% of samples tested below the limit of detection.Chang et al.