Whilst Sicily is the largest and perhaps most geographically diverse island in the Mediterranean, archaeological survey has been slow to develop there and has had little impact on general accounts of Sicilian prehistory. Discussions of prehistoric settlement distribution in the island have to contend with uneven data obtained by different means and limited evidence for past land-use and environmental change. Nevertheless, survey data point to contrasting settlement patterns between the fourth and first millennia BC (Copper, Bronze and Iron Ages), which can usefully be compared with information from conventional (non-survey) distribution maps. Surveys have the potential to promote new accounts of Sicilian prehistory in which traditional historicist paradigms are at least complemented by those which place a stronger emphasis on relationships or dynamics within the specific island context.