Urban Sprawl is a broad concept, with many different definitions about what indicates sprawl. In this study, we analyze sprawl in the Öresund Region, focusing mainly on the Swedish region Skåne. Typical indicators for sprawl in Scandinavia, particularly in the Öresund Region, are: satellite towns serving as residential suburbs for bigger surrounding cities (Malmö, Lund and Copenhagen) with low-density building and low mixed-use, linear development along railroads and railways, high commuting and automobile dependence. The analysis of the spatial planning systems shows how urban development in Denmark and Sweden is happening and what kind of opportunities the municipalities have to prevent sprawl. Against this background, we evaluate projects and ambitions of our analyzed municipalities for future urban development and look at other influences which cause urban sprawl in the municipalities in Skåne. Accordingly, we consider connections between transport policies/systems - as a determinant for urban development - and the spatial planning of the municipalities. The regional integration in the Öresund Region is also analyzed as a determinant for sprawl, since this integration has several impacts on urban development in the municipalities. Concepts, policies, projects and current realities are, this way, analyzed to enlighten a clearer picture of the shape sprawl is taking in the Öresund Region.