The study was carried out on sediments collected from three rivers: Nysa Szalona, Strzegomka and Bystrzyca flowing in southwestern Poland. The content of Al in sediments and in bottom water was determined in relation to chemical conditions. The study was carried out in a four-year cycle, during spring and autumn. The aim of the study was to determine the level and accumulation of aluminum in sediments of rivers supplying dam reservoirs storing water for consumption. The sediments studied were mineral in nature, with neutral pH and moderate sulfate content. The level of Al and heavy metals in the sediments was the highest in the Nysa Szalona River and the lowest in the Strzegomka River, which was also evident in the concentration factor (CF). In terms of season, higher Al contents were recorded in sediments in autumn than in spring, which was also reflected in the concentration factor (CF). Along the course of the river, a gradual decrease in Al levels was observed in successive tributaries in the Nysa Szalona and Strzegomka Rivers, while there was no apparent regularity for the Bystrzyca. Against this background, a comparison of extreme sites below the springs and at the reservoir outlet shows that values were higher in the Nysa Szalona below the springs, and lower in the Strzegomka and Bystrzyca below the reservoir outlet. The general picture of Al and heavy metal loading of the studied sediments shows the lowest loading for the Strzegomka, only the enrichment factor (EF) was the lowest for the Nysa Szalona: metal pollution index (MPI)—S < B < NS, contamination factor (Cf)—S < B < NS, degree of contamination (DC)—S < NS < B, EF—NS < B < S, geoaccumulation index (Igeo)—S < B < NS, CF—S < NS < B. There was no effect of catchment size and river length on Al levels in sediments.