This paper presents the first detailed analysis of the lithic industry from El Sidrón Cave. Previously we have published other works concerning Anthropology and Palaeogenetics. The lithic assemblage contains 415 artefacts coming from both unofficial and official excavations and is largely flake-based. The raw material derives from the immediate cave environment, and is mostly chert, with quartzite in a lesser proportion. To date, 67 artefacts have been refitted, including some tools and cores. The spatial distribution of the refitted lithic artefacts confirms, on the one hand, the unity of the assemblage and, on the other, its secondary context.