Head and neck sarcomas are exceedingly rare, representing 4–10 per cent of all sarcomas and less than 1 per cent of head and neck malignanties. The objective of this study is to analyse epidemiological and histopathological data of these neoplasms in Fez, Morocco. This is a retrospective study including all head and neck sarcomas histologically proven between 2007 and 2016. It was conducted at the department of pathology of the Hassan II university hospital, fez, Morocco. The characteristics of patients including age, sex, location, and histological diagnosis were analyzed. 54 cases of head and neck sarcomas were diagnosed. There was a male predominance with a sex-ratio of 1.5. The mean age was 37.7 years (1 year-88years). There were 45 soft tissue sarcomas, mostly located in the face, and 9 bone sarcomas mostly located in the mandible. Rhabdomyosarcoma and leiomyosarcoma were the commonest types. In Fez, head and neck sarcomas share some characteristics with previous published series and present some differences. They occur mostly in males, with a younger age at diagnosis and a higher proportion of children. Soft tissue location is the most frequent, particularly facial and rhabdomyosarcoma and leiomyosarcoma are the commonest types