Artisanal and small-scale gold mining activities have an impact on natural resources and human health. This study addresses the assessment of surface water quality in the Lom gold basin. A combined approach of water quality index calculation, multivariate statistical analysis and spatial interpolation was used. Sampling was performed at 15 stations during low- and high-water periods in 2021 for classical physicochemical parameters and total mercury measurements. The results show that the physicochemical parameters were below drinking water standards for both periods, except for pH, total suspended solids and total mercury. These waters show a large cation deficit as well as an anion deficit. The water chemistry is controlled by precipitations and silicate dissolutions in rock that convert the water into the Ca-HCO3 and Ca-Mg-HCO3 types. The level of mercury contamination varied from acceptable to high due to high flow rates during high water that cause a dilution effect for the mercury concentration upstream and its accumulation downstream. The water quality varied from excellent to very poor with better quality during the high-water period. The Lom watershed is locally affected by physical and chemical pollution due to the abundance of suspended solids and mercury resulting from the different gold mining activities.