The results of this study show that recycling workers in three Swedish e-waste plants were exposed to higher air concentrations of all analyzed metals than were office workers in the same plants. Using exposure biomarkers, we detected elevated internal doses of Cd, Cr, Hg, In and Pb in the recycling workers compared to the office workers. Correlation analysis of metals in the inhalable fraction and exposure biomarkers (blood, plasma and urine) showed close to linear correlations also for Sb and V, besides Hg, In, and Pb, supporting occupational exposure to multiple metals at e-waste recycling work, even in modern plants with adequate protection routines. To the best of our knowledge, this is the first study of the formal recycling of e-waste, evaluating multiple elements in both air and exposure biomarkers.