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Provisions, income tax liabilities and other liabilities - Additional Information (Details)
€ in Millions
12 Months Ended
Dec. 31, 2022
EUR (€)
Dec. 31, 2021
EUR (€)
Dec. 31, 2020
EUR (€)
Dec. 31, 2022
EUR (€)
Country
age
plan
Dec. 31, 2021
EUR (€)
Dec. 31, 2020
EUR (€)
Provisions and other non-current liabilities [Line Items]            
Number of major countries included in pension obligations | Country       4    
Pension obligation, percentage to defined benefit liability 89.00%     89.00%    
Pension obligations, percentage to plan assets 88.00%     88.00%    
Employee termination benefits € 1,039 € 943 € 1,260 € 1,039 € 943 € 1,260
Average residual holding periods 2 years 7 months 6 days 1 year 11 months 8 days 1 year 11 months 26 days      
Non-current income tax liabilities € 1,979 € 2,039 € 1,733 [1] € 1,979 2,039 1,733 [1]
Tax charge on deemed repatriation attributable to accumulated earnings payable period       8 years    
Liability recognized representing the estimated cost       € 1,020 960 894
Other non-current liabilities 519 291 317 519 291 € 317
Unused capital losses for which no deferred tax asset recognised 488     488    
US legal restructuring            
Provisions and other non-current liabilities [Line Items]            
Unused capital losses for which no deferred tax asset recognised   2,900     € 2,900  
Capital losses, carry back period         3 years  
Percentage of capital losses used           33.33%
Later than 12 months            
Provisions and other non-current liabilities [Line Items]            
Other non-current liabilities 459 576 569 € 459 € 576 € 569
Other environment related provision            
Provisions and other non-current liabilities [Line Items]            
Identified environmental risks provisions estimated obligation period       30 years    
Other provisions, expected utilized amount in 2022       € 96    
Other provisions, expected utilized amount in 2023 through 2026       201    
Uncertainties over income tax treatments            
Provisions and other non-current liabilities [Line Items]            
Non-current income tax liabilities 1,520 1,463 1,164 1,520 1,463 1,164
France            
Provisions and other non-current liabilities [Line Items]            
Employee termination benefits € 804 614 889 € 804 614 889
US            
Provisions and other non-current liabilities [Line Items]            
Number of types of defined-benefit plan | plan       2    
UK            
Provisions and other non-current liabilities [Line Items]            
Retirement age | age       65    
Notional retirement age | age       60    
UK | Bottom of range            
Provisions and other non-current liabilities [Line Items]            
Vesting right percentage       1.25%    
UK | Top of range            
Provisions and other non-current liabilities [Line Items]            
Vesting right percentage       1.50%    
Lump-sum retirement benefit plans | France            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 35.00%     35.00%    
Defined benefit pension plans | France            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 65.00%     65.00%    
Defined benefit pension plans | US | Qualified defined benefit pension plans            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 60.00%     60.00%    
Defined benefit pension plans | US | Non qualified defined benefit pension plans            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 14.00%     14.00%    
Defined benefit pension plans | UK            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 100.00%     100.00%    
Top-up defined-benefit pension plan | Germany            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 62.00%     62.00%    
Sanofi-Aventis Plus | Germany            
Provisions and other non-current liabilities [Line Items]            
Employer's contribution percentage       15.00%    
Multi-employer plan (Pensionskasses) | Germany            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 24.00%     24.00%    
Employee termination benefits € 652 € 877 € 773 € 652 € 877 € 773
Healthcare Cover And Life Insurance | US            
Provisions and other non-current liabilities [Line Items]            
Pension obligation, percentage to defined benefit liability 26.00%     26.00%    
Employee termination benefits € 409     € 409    
Healthcare Cover And Life Insurance | US | Plan assets            
Provisions and other non-current liabilities [Line Items]            
Pension obligations, percentage to plan assets 3.00%     3.00%    
Net amount shown in the balance sheet at end of period € 28     € 28    
[1] Includes the impacts of the IFRIC final agenda decisions of March 2021 on the costs of configuring or customising application software used in a Software as a Service (SaaS) arrangement and of April 2021 on the attribution of benefits to periods of service, as described in Note A.2.1. to the consolidated financial statements for the year ended December 31, 2021.