Atmospheric mercury (Hg) is a critical indoor (ID) air pollutant and necessitates stringent monitoring. However, studies have primarily focused on Hg outdoors (OD) compared to ID, with no investigations conducted within the Southeast Asia (SEA) region. In this study, total gaseous Hg (TGM) concentrations and human exposure levels were investigated across various site characteristics in Ho Chi Minh City (HCMC), a megacity in SEA. The measured TGM concentrations for OD and ID were 5.12 ± 6.87 ng m−3 (1.20–48.7 ng m−3) and 34.5 ± 60.3 ng m−3 (1.26–271.9 ng m−3). The overall ID/OD ratio was 5.01 (0.77–9.3), signifying markedly elevated ID TGM concentrations. This ratio increases in the following order: shopping malls (1.50) < hospitals (3.21) < chemical laboratories (5.76) < households (11.7). Notably, sites associated with Hg incidents and the utilization of Hg-contained chemicals demonstrate notably high ID/OD levels, ranging from 8.0 to 40.1. The use of Hg-containing chemicals within the chemical laboratory serves as a significant contributor to heightened ID TGM levels. Non-combustion Hg sources, therefore, play an important role in inducing the ID TGM level. The hazard index (HQ) values observed for ID and OD were 0.1 and 0.01, respectively, indicating a negligible risk of exposure to TGM within the study area. However, HQ values recorded within laboratory environments employing Hg-associated chemicals and dental hospitals were 1–17 times greater compared to other sites. The present work provides new insight into the non-combustion ID source of TGM and was helpful for upcoming studies in exploring potential sources of TGM in megacities.