Abstract Aim: Autism is a neurodevelopmental disorder which affects communication and social interaction of children. It is a heterogeneous disease with various clinical presentations. Some genes are involved in its pathogenesis. It has been suggested that environmental exposure to lead can increase the risk of autism. The aim of our study was to compare blood lead levels among autistic and non-autistic children. Material and Method: This retrospective study included 107 children (60 with autism and 47 without autism) referred from the different Iraqi provinces, in the years 2015, 2016 and 2017, to the poisoning consultation center in Baghdad. Data collection including age, gender, residence, referral source, family history and blood lead levels was taken from their medical records. Results: No significant differences were noticed between the prevalence of autism and both of age (P=0.843) and gender (P=0.699). The majority of children have no family history of autism (85%). Mean blood lead level for all participants was 16.01 μg/dl. The statistically significant difference in lead level was found between autistic and non-autistic children (17.38± 1.86 μg/dl in autism group versus 14.27± 1.57 μg/dl in non-autism group) with a P value of 0.001. Discussion: Mean blood lead level was high in all participants, compared to the international values, which might indicate a high level of lead exposure in Iraqi children due to environmental pollution. Autistic children have higher lead levels than non-autistic ones and this might explain the role of lead in the etiology of autism.