The increase in heavy metal concentration in water bodies due to rapid industrial and socio-economic development significantly threatens ecological and human health. This study evaluated metal pollution and related risks to ecology and human health in the Maroon-Jarahi river sub-basin in the Persian Gulf and Oman Sea basin, southwest Iran, using various indicators. A total of 70 water samples were taken from the sampling sites in the Maroon, Allah, and Jarahi sub-basins and analyzed for nine heavy metals. According to the results, the mean concentration of metals in the sampling locations across the entire sub-basin of Maroon-Jarahi was observed as follows Iron (528.22µg/L), zinc (292.62µg/L), manganese (56.47µg/L), copper (36.23µg/L), chromium (11.78µg/L), arsenic (7.09µg/L), lead (3.43µg/L), nickel (3.23µg/L), and cadmium (1.38µg/L). Most of the metals were detected at the highest concentration in the sub-basin of the Jarahi River. The Water Quality Index (WQI) index in the basin varied from 18.74 to 22.88, indicating well to excellent quality. However, the investigation of the pollution status at the monitoring stations, based on the classification of Degree of Contamination (CD) and Heavy Metal Pollution Index (HPI) indices, revealed that they are in the category of relatively high pollution (16 < CD < 32) to very high (32 ≤ CD), and in the low pollution category (HPI < 15) to high pollution (HPI < 30), respectively. According to the three sub-basins, the highest amount of WQI, HPI, and Cd was observed in the stations located in the sub-basins of the Jarahi River. The calculation of Heavy Metal Evaluation Index (HEI) also indicated that only 10% of the monitoring stations are in moderate pollution (10 < HEI < 20), while in other monitoring stations the HEI level is less than 10. The Potential ecological risk factors ( ) of an individual metal was obtained as follows: Cd (173.70) > As (131.99) > Zn (57.52) > Cu (55.39) > Ni (48.98) > Cr (21.57) > Pb (0.71), revealing that Cd and As are the main elements responsible for creating ecological risk in the studied area. The Maroon-Jarahi watershed included areas with ecological risks that ranged from low (PERI ≤ 150) to very high (PERI ≥ 600). HI and ILCR health indicators indicated that consumption and long-term contact with river water in the study area can cause potential risks to human health, especially children. Moreover, the findings, the highest level of pollution and health risk for both children and adults, considering both exposure routes, occurred in the Jarahi River sub-basin, suggesting that those who live in the vicinity of the Jarahi River are likely to face more adverse health effects. In addition, the findings of the evaluation of the relationship between land use patterns and water quality in the studied basin showed that agricultural lands acts as a main source of pollutants, but forest lands play an important role in the deposition of pollutants and the protection of water quality at the basin scale. In general, the results of pollution indicators, risk assessment, and statistical techniques suggest that the lower sub-basin, the Jarahi area, and the Shadegan wetland are the most polluted areas in the investigated sub-basin due to excessive discharge of agricultural runoff, industrialization, and rapid urbanization. Thus, special measures should be considered to reduce the risks of HMs pollution in the sub-basin of the Maroon-Jarahi watershed, especially its downstream and the impact of agricultural land use on water quality should be taken into consideration in basin management plans.