Urban water utilities face growing challenges in compliance with increasingly demanding legislation, tightening budgets, ageing personnel, decreasing infrastructure reliability, increasing operational costs, regulatory pressure, and climate change. Within this context, tracking the alignment of the performance with the mission and strategic objectives of the organization, based on reliable and up-to-date data, is of utmost importance to enable effective and continual improvement management. Organizational performance assessment in the water sector has been a topic of growing attention since the 1990s due to the increase in the role of regulators and tighter legislation. Proactive utilities are incorporating sustainability, resource efficiency, resilience, and continual improvement principles in their practices. Strategic planning provides the road map for management and interconnecting the different areas of the organization. An essential component of strategic management planning is the adoption of a tailored performance assessment system (PAS), allowing a better response to these challenges from the water utility management perspective. This paper presents a novel PAS at the strategic level, which was tested and validated with wastewater utilities, in a co-creation process. The proposed PAS fully adopts the objectives recommended in international standards, with a corresponding set of criteria and metrics, and a validated proposal of reference values for the metrics.