This study investigated odor generation and external leakage characteristics in a combined sewer system through field monitoring of manholes, catch basins, and box culverts. Odor samples were analyzed for malodor intensity in terms of the dilutionto- threshold (D/T) ratio using the air dilution sensory (ADS) test. In addition to the ADS tests, 22 offensive odorants as defined in the Korean Malodor Prevention Act were quantified. Among the odorants monitored, hydrogen sulfide showed not only the highest concentrations but was also the most frequently detected, indicating representative odor compounds. The mean hydrogen sulfide concentration reached 1,132 ppbv, with a maximum of 13,709 ppbv, corresponding to complex odor concentrations of up to 1,442 dilution-to-threshold units. On average, approximately 13% of the internal sewer odors escaped through manhole openings, which could easily cause odor nuisance exceeding the legal threshold at boundary lines. A comparison with national odor management standards indicated that the current regulations, based solely on in-pipe hydrogen sulfide concentration, do not adequately represent human sensory perception. The findings highlight the need to establish practical odor-control criteria that consider external leakage and perceptual intensity for effective sewer odor management in urban environments.