This study monitored the stormwater runoff quantity and quality treatment performance of a 6.8 ha 19-year old combined pond-wetland system, located in south Sweden, over one year. The mean volume reductions for 53 storm events for the pond and wetland were 40% and 28%, respectively, while the mean flow reductions were 60% and 76%, respectively. Pollutant concentrations in the influent to the wetland were highly variable. The pond-wetland system could efficiently remove an average of 91%, 80%, 94%, 91%, 83% and 92% of TSS, TP, particulate Cd, Cu, Pb, and Zn, respectively, whereas the removal of particulate and dissolved Ni was highly variable with an average of 67% ± 62% and −5% ± 41%, respectively. The removal of TN, NH4-N and NO3 + NO2-N was highly variable with an average of 45% ± 27%, 12% ± 96% and 45% ± 43%, respectively. These removal percentages are high in comparison to other studies and underline that relatively old systems can also provide efficient treatment. Although the pond accounted for a substantial reduction of pollutant concentration, the wetland significantly enhanced both the treatment performance and the peak flow reduction. This underlines that a combined pond/wetland system is a more beneficial solution than a pond only. The pollutant removal efficiency was significantly influenced by some factors including Antecedent Dry Days, seasonal variations, air temperature, retention times, rainfall depth and duration, and peak rainfall intensity.