Acetaminophen (CAS 103-90-2) is one of the most used pharmaceuticals around the world. In Korea, it was produced 1,069 tons in 2003. This chemical is not eliminated in wastewater treatment plant and may flow into the ecosystem through various routes. Therefore, there is a possibility that it can make an adverse effect on aquatic organisms. To examine its ecological toxicity, we used three native Korean aquatic invertebrate species, Daphnia sp., Chironomus yoshimatsui, and Ephemera orientalis. The acute toxicity on Daphnia sp. was moderately high, and its 48 hour median immobilization concentration (EC50-immobilization) was 51.7 mg/L. On the other side, the reproductive toxicity was very high, and its EC50 of 25 day reproduction test was 0.005 mg/L. In E. orientalis egg hatching test, the median egg hatching inhibition concentration was 0.199 mg/L. C. yoshimatsui was most tolerant to acetaminophen, in which 48 hour median lethal concentration (LC50) was 400.0 mg/L and 45 day median emergence inhibition concentration (EC50-emergence) was 45.27 mg/L. From this results, we concluded that acetaminophen is hazardous to freshwater macroinvertebrates, especially to water flea. Therefore we need to study more about pharmaceuticals' ecotoxicology including acetaminophen and to assess their potential ecological risk.