ABSTRACT The present study assessed the heavy metal pollution in sediment samples collected from the Noyyal River basin (river and lake sediments) during the monsoon and summer seasons. The geo-accumulation index (Igeo) categorizes metals as extremely polluted during monsoon and heavily contaminated to extremely contaminated during summer. The enrichment factor (EF) of metals Mn during monsoon and Cd during summer indicates extremely severe enrichment (EF > 50) and Mo exhibited very high contamination (CF > 6) throughout the basin during monsoon. The average risk index of heavy metal in the basin followed the order Cd (164.15) > Ni (14.82) > Co (4.84) > Cr (2.55) > Cu (1.89) > Zn (1.38) > Mn (0.40) during monsoon and Cd (153.07) > Ni (7.96) > Cu (5.13) > Co (4.63) > Cr (1.89) > Zn (1.21) > Mn (0.3) during summer showing that the PERI of each element was minimal except for Cd. Adverse health-related effects are confirmed by the cumulative total hazard index (THI) for children with HQ ingestion and HI values >1 in all sample locations over both seasons. Principal component and cluster analysis show metals accumulate in sediments mainly through industrial wastewater discharge and also experience significant natural source weathering through rainfall runoff. This research emphasizes the need for enhanced wastewater treatment facilities in metropolitan areas situated along the Noyyal River to potentially reduce the release of heavy metals from both domestic and industrial sources.