The groundwater quality in the vicinity of the Makum coalfield, renowned for its high-sulfur coal deposits, was investigated. The oxidation of sulfur in the coal generates acid mine drainage (AMD), a global environmental challenge that contaminates natural resources. The region's high sulfur coal content intensifies AMD formation, necessitating a comprehensive assessment of its impact on human health and the environment. This study analyzes the water quality parameters such as pH, EC, TDS, Na+, Ca+2, Mg+2, K+, HCO3‐, SO4−2, F−, Cl -, and NO3− in groundwater, findings concerning low pH levels (5.8) and fluoride concentration (0.15 mg/L) compared to standards. Groundwater chemistry was analyzed to identify the sources controlling water composition through Gibbs diagrams, Piper diagrams, and saturation indices. The Gibbs diagram shows that rock weathering is the crucial factor controlling groundwater chemistry, while the Piper diagram indicates Ca-Cl as the Principal water type. Additionally, an in-depth analysis of groundwater chemistry reveals that carbonate dissolution primarily occurs due to minerals like calcite, dolomite, and gypsum, findings supported by saturation indices. The present study yielded an average water quality index of 40.19, indicating excellent to good water quality in 51 out of 52 samples analyzed. The average hazard index values for adults and children were 0.60 and 0.58, respectively, indicating that 49 of 52 samples pose negative non-carcinogenic risks associated with nitrate and fluoride contamination. The irrigation indices, graphical representations such as the Wilcox and Doneen classification, and the USSL diagram elucidate the suitability for irrigation purposes. Moreover, the Principal Component Analysis identified the sources of ions as originating from geogenic processes and mining activities. The study stresses environmental assessments, health risk management, and sustainable practices for groundwater in high-sulfur coal mining areas.