Using data collected from a European retailer at two levels (415 employees from 21 stores), this study explores the detrimental effects of presenteeism on store-level indicators of customer satisfaction, operational efficiency, absenteeism, and productivity. Results show that presenteeism is directly related to absenteeism rates, and indirectly related to other performance indicators through increased need for recovery and reduced job satisfaction. Finally, personnel-management procedures perceived as unfair worsen the negative influence of employees’ presenteeism on their job satisfaction.