It carries industrial waste from the Upper Silesia and Zagłębie Dąbrowskie Coal Basin, and its water is regarded as dead.

Among the towns located along the Przemsza are Dąbrowa Górnicza, Mysłowice, Jaworzno, Chełmek, and Jęzor, a district of Sosnowiec.

Large flat-bottomed rowing boats, called pl:galars, were used to transport goods on the Przemsza to the Vistula.

In June 1926, the Piast Mine from Lędziny began mass water transportation of its coal, using a specially constructed port, located at the village of Chełm Mały.

A river port at Niwka (a district of Sosnowiec) was to be built, a Mysłowice - Spytkowice - Kraków canal, and a waterway to the Baltic Sea.