In 2009, the first Italian offshore LNG terminal, located approximately 12 km from the coast of Italy in the Northern Adriatic Sea, started its operation phase. Even if the active chlorine concentration in the discharged seawater is within limits set by Italian regulations (0.2 mg/L), to verify the environmental impact of disinfection by-products (DBPs) on the ecosystem, a specific monitoring program was scheduled from 2010 to 2015. The present study is the first displaying results of DBPs in marine waters of the Adriatic Sea. During the first two years of monitoring activities, DBPs were slightly above limit of quantifications (LOQs) in all investigated matrices and limited to the nearest area around the terminal. In these surveys, bromoform was the most frequently detected compound in seawaters, while haloacetic acid presence, as well as transplanted mussels and fish fauna, mostly characterized sediments. In the following surveys, levels were mostly negligible in all matrices investigated, with values mostly below the specific LOQs of the different compounds.