Carbon monoxide (CO) is a harmful trace gas produced from the incomplete combustion of fossil fuels. Carbon monoxide (CO) poses a substantial threat to human health. The objectives of this study were to investigate carbon monoxide (CO) annual and seasonal variations with meteorological factors, study the marginal effects of weather factors on CO, analyze the impact of independent variables (meteorological factors) importance on CO distribution, time series trend analysis (Mann-Kendall and Sen's slope, additive decomposition model, and linear trend model), study the spatial distribution of CO in the capital cities and non-carcinogenic health risk in India from 2019 to 2022. The study showed that CO concentrations varied, notably across different years (from 2019 to 2022), months, and seasons. The maximum annual CO (0.91 ± 0.17 mg/m3) concentration was recorded in 2019, while the lowest was (0.67 ± 0.12 mg/m3) in 2022. Seasonally, the winter season had the highest load of CO (ranging from 0.17 to 2.17 mg/m3) in the ambient atmosphere compared to the monsoon (0.08 to 1.38 mg/m3) and summer (0.10 to 1.50 mg/m3) seasons. The analysis of the importance of the independent variables (meteorological factors) on CO indicated that temperature had the most substantial impact on CO variation, followed by wind direction, relative humidity, and wind speed. The trend analysis using different models showed a declining trend in CO concentrations over the study period. The non-carcinogenic health risk HQ values were less than 1, suggesting no notable risk. The Monte Carlo simulation revealed that the 5th and 95th percentile range of HQ risk was 0.02 to 0.07 and the sensitivity analysis of non-carcinogenic risk at the state capital level was conducted, and revealed that Delhi was at a higher risk than Chandigarh, Patna, Gandhinagar, Bengaluru, Mumbai, and others, respectively. The results of this study on CO emissions will be beneficial in creating focused plans and policies to reduce CO pollution in seasonal influences and its effects on ambient air quality and public health in the capital cities of Indian states.