Pesticide risk assessment within the European Union Water Framework Directive is largely deficient in the assessment of the actual exposure and chemical mixture effects. Pesticide contamination, in particular herbicidal loading, has been shown to exert pressure on surface waters. Such pollution can have direct impact on autotrophic species, as well as indirect impacts on freshwater communities through primary production degradation. The present study proposes a screening method combining polar organic chemical integrative samplers (POCIS) with mode of action-specific toxicity testing on microalgae exposed to POCIS extracts as a standard approach to effectively address the problem of herbicide mixture effects detection. This methodology has been tested using Luxembourgish rivers as a case study and has proven to be a fast and reliable information source that is complementary to chemical analysis, allowing assessment of missing target analytes. Pesticide pressure in the 24 analyzed streams was mainly exerted by flufenacet, terbuthylazine, nicosulfuron, and foramsulfuron, with occasional impacts by the nonagricultural biocide diuron. Algae tests were more sensitive to endpoints affecting photosystem II and reproduction than to growth and could be best predicted with the concentration addition model. In addition, analysis revealed that herbicide mixture toxicity is correlated with macrophyte disappearance in the field, relating mainly to emissions from maize cultures. Combining passive sampler extracts with standard toxicity tests offers promising perspectives for ecological risk assessment. The full implementation of the proposed approach, however, requires adaptation of the legislation to scientific progress. Environ Toxicol Chem 2022;41:2667-2678. © 2022 The Authors. Environmental Toxicology and Chemistry published by Wiley Periodicals LLC on behalf of SETAC.