Pacific sardine (Sardinops sagax) in the northwest Pacific Ocean (NPO) not only preserve the equilibrium of the NPO food chain, but also serve as a source of nutrition for humans. In order to evaluate the levels of various elements in S. sagax, we collected specimens from NWP waters and ascertained the quantities of four macronutrients, nine essential trace elements, and twelve non-essential trace elements. The factors (fatness, sex, sexual maturity, body length, body weight, and age) influencing the concentration were investigated, and the correlations of trace elements were examined. Additionally, the Estimated Daily Intake (EDI) approach and the Target Hazard Quotient (THQ) methodology were used to assess contamination levels and associated consumption risks. The results revealed that the macronutrient content (54–10,500 mg kg−1) was higher than the necessary trace elements (0–488 mg kg−1) and the non-essential trace elements (0–448 mg kg−1), and most of the elements showed positive correlation with each other. Almost all of the element concentrations were below the maximum permitted levels (MPLs) recommended by the FAO/WHO, except for As and Cd. The factors, including fatness, sexual maturity, body length, body weight, and age, showed a negative correlation with most of the trace elements. The outcomes of the stepwise regression analysis showed that sex and stage of sexual maturation were the principal biological factors influencing elemental content. The risk assessment and standard dietary intake levels indicated that the potential health issues associated with the consumption of S. sagax were negligible.