AbstractThe osteoma, among other forms of benign neoplastic disease, has received little palaeopathological or palaeoepidemiological interest largely because of its asymptomatic nature. This is problematic because these tumours are regarded as common occurrences in bioarchaeological contexts, despite there being scant data to support these claims. This investigation presents a palaeoepidemiological enquiry into osteomata. Five hundred ninety individuals from six skeletal assemblages from Poland, dating from the 9th to 17th century, were macroscopically surveyed for osteomata. This was followed by a palaeoepidemiological analysis, looking at sex‐ and age‐specific prevalence. Ninety‐three osteomata were observed in 67 individuals. The sex‐specific prevalence was 13.5% (95% confidence interval [CI]: 9.7–18.1) for males and 11.6% (95% CI 7.9–16.2) for females. The age‐specific prevalence for middle adults was 2.1% (95% CI: 0.6–5.2) and 5.3% (95% CI: 2.5–9.8) for mature adults. The results indicated the prevalence of benign tumours was similar between males and females and seemed to increase with age. This case study adds to a sparse area of palaeo‐oncological research and calls for further future investigation.