Our investigation on macrophytes in Lake Qattieneh, a large, shallow reservoir in western Syria, is a first assessment of ecological status of this lake. We studied spatial distribution patterns of aquatic macrophyte vegetation and heavy metal concentrations to determine if they can be used as indicators of point sources of pollution. Industrial and municipal point sources at the lake shore increase nutrient load and contamination by heavy metals. Water analyses revealed high concentrations of some heavy metals at some littoral sites: Ni 88.7 μg L −1, Cr 49.99 μg L −1, Co 14.38 μg L −1, and Cu 11.65 μg L −1. Despite hypertrophic conditions and high heavy metal contamination, we recorded several submerged macrophyte species with heterogeneous spatial distribution patterns. Whereas Potamogeton pectinatus L. dominates in the eastern part of the lake, near industrial point sources, both Myriophyllum spicatum L. and Potamogeton lucens L. form extended patches in the western part of the lake. The shallow, littoral areas near villages are dominated by Ranunculus trichophyllus Chaix in Villars and Ceratophyllum demersum L. The west–east gradient in nutrient and heavy metal concentrations in waters and sediments are reflected by the spatial distribution of submersed species. While the heavy metal concentrations of the water body vary considerably in different seasons, the contents in submersed macrophytes integrate seasonal variations of longer time periods. Spatial distribution and tissue accumulation of littoral macrophyte species reflect the environmental conditions at respective sites such as heavy metal contents in water and sediment.