PM2.5 bound mercury (PBM2.5) in the atmosphere is a major component of total mercury, which is a pollutant of global concern and a potent neurotoxicant when converted to methylmercury. Despite its importance, comprehensive macroanalyses of PBM2.5 on large scales are still lacking. To explore the driving factors, spatiotemporal pollution distribution, and associated health risks, we compiled a comprehensive dataset consisting of PBM2.5 concentrations and spatiotemporal information across China from 2000 to 2023 that was collected from the published scientific literature with valid data. By incorporating corresponding multidimensional predicting variables, the best-fitted random forest model was applied to predict PBM2.5 concentrations with a high spatial resolution of 0.25° × 0.25°, and the health risk assessment model was used for subsequent health risk assessment. Our results indicated that population density and PM2.5 emissions from power generation were the main contributors to PBM2.5 concentrations. In 2020, the pollution was primarily concentrated in northern, central, and eastern China, with the highest annual average concentration of 815.91 pg/m3 in Shanghai. Beijing experienced the most significant seasonal increase, with PBM2.5 concentrations rising by 146.92 % from summer to winter. Nationally, the annual average PBM2.5 pollution decreased extensively and markedly from 2015 to 2020. The non-carcinogenic risk of PBM2.5 alone was negligible in 2020, with HQ values generally <0.02 in winter. This study may provide an important assessment of the effectiveness of China's measures against mercury pollution and offer valuable insights for future prevention and control of PBM2.5 pollution.