In the present paper, the properties of Portland cement mixtures containing fly ashes (FA) collected at four different Italian municipal solid waste incineration (MSWI) plants were investigated. In particular, physical/mechanical characteristics (setting time, unconfined compressive strength (UCS) and shrinkage/expansion), as well as the acid neutralisation behaviour of the solidified products were considered. The FA composition, revealing enrichment in heavy metals, chlorides and sulphates, significantly altered the hydration behaviour of Portland cement. Consequently, for some of the investigated FA the maximum allowable content for the mixtures to achieve appreciable mechanical strength was 20 wt.%. Even at low FA dosages setting of cement was strongly delayed. In order to improve the properties of FA/cement mixtures, the use of additives was tested.Moreover, the acid neutralisation capacity (ANC) of the solidified products was evaluated in order to assess the ability of the matrix to resist acidification, and also to provide information on hydration progression, as well as on heavy metal release under different pH conditions. Comparison of the results from the present work with previous studies carried out on spiked mixtures lead to the conclusion that the mechanical properties of the stabilised FA could not be predicted based on the effect exerted by heavy metals and anions only, even when the dilution effect exerted on cement was taken into account. It was likely that a major role was also played by alkalis, which were present in the FA at much higher concentrations than in cement.