Boracay Island, Philippines, famous for its white sand beaches, has wetlands increasingly threatened by human activities. This study evaluated the ecological state of Boracay Island's wetlands and assessed the consequences of anthropogenic activities on sediment quality. Results showed that sediments from Wetland Nos. 3 and 4 have higher concentrations of potentially toxic elements (PTEs) than Wetland No. 1. Comparative analysis with other Southeast Asian wetlands revealed that Boracay's sediments contain the highest average values of As, Cd, Cu, Ni, Zn. Enrichment factor values suggest that the moderate enrichment of Cd, Cr, Cu, Mo, Pb, and Zn in the wetland sediments can be attributed to anthropogenic activities on the island. Elevated concentrations of Cr, Cu, and Zn above interim sediment quality guidelines indicate occasional adverse biological effects on aquatic biota. These findings provide a crucial baseline for future pollution monitoring and highlight the need for ongoing conservation efforts in Boracay's wetlands.