Portland-limestone cements (PLC) have been used in practice for a considerable period of time in several countries. In 2008, the CSA A3000 cements committee approved the addition of a new class of cement with up to 15% interground limestone. The CSA A23.1 concrete committee also approved the use of PLC in concrete in 2009. However, to date, due to uncertainty about the performance of Portland-limestone cements in sulfate environments, their use has not been allowed in sulfate exposures. In this study, the sulfate resistance of five different Portland-limestone cements and their combinations with various amounts of supplementary cementitious materials (SCMs) were examined. Besides the standard tests performed at 23 °C, a modified version of the ASTM C1012 test was developed in this study (adopted in 2010 as CSA A3004-B) and used to investigate the possibility of thaumasite form of sulfate attack at 5 °C. It was found for tests conducted at 23 °C that while 100% cement mixes deteriorated in sulfate exposure due to conventional sulfate attack, partially replacing the Portland cements and Portland-limestone cements with 30% or 50% slag was effective in making the mixes highly sulfate-resistant. In sulfate exposure at 5 °C, all of the 100% cement mortar bars failed the test and had completely disintegrated due to the formation of thaumasite. Partially replacing cement with 30% slag was effective in controlling the deterioration at 5 °C only for Portland cements and not Portland-limestone cements. However, all the combinations of the cements with 50% slag were resistant to the thaumasite form of sulfate attack. In a parallel study, the hydration of Portland-limestone cements and the relationship between strength and porosity of mortar samples were examined. The results of hydration studies revealed that the limestone portion of Portland-limestone cements reacts with the alumina phases and produces carboaluminates, which contributes to the strength. As the limestone content of the cement increased, the shift in the ...