The present study, with the aid of GIS, utilizes high-density groundwater (GW) sampling data (1398 samples) to analyze the spatial variation characteristics of GW fluoride in Weifang City (WFC), and evaluate the health risks associated with drinking water routes. The concentration of fluoride in the GW of WFC is observed to be between 0.08 and 9.16mg/L, with a mean value of 0.62mg/L. The fluoride concentration of a total of 192 GW samples exceeded the limit of China's GW quality standards (1mg/L), accounting for 14.74%. The GW fluoride concentration in most areas of WFC is less than 1mg/L. However, the relatively high-value zones are mostly concentrated in the upper reaches of Wen River, the east of Shouguang, the southeast of Anqiu, the east of Qingzhou, the east of Fangzi, and the southeast and northwest of Gaomi. The hydrochemical types of GW in WFC are mostly HCO3-Ca·Mg and SO4·Cl-Ca·Mg, while GW samples with hydrochemical types HCO3-Na and SO4·Cl-Na are characterized by high fluoride content. The hydrochemical characteristics of GW in WFC are mostly dominated by rock weathering. In addition, the northern coastal plain is evidently influenced by seawater intrusion. The concentration of fluoride in GW is affected by the dissolution of fluorine-containing minerals, cation exchange, and alkaline environmental factors. The effect of GW by seawater intrusion and very high content of Na+ will decrease the fluoride content of the GW through cation exchange. Health risk assessment demonstrated that the mean values of non-carcinogenic hazard quotient (HQ) for infants, children, teenagers, and adults were 0.52, 0.35, 0.31, and 0.30, respectively. In addition, the distribution characteristics of GW fluoride in high health risk areas (HQ > 1) in WFC are further consistent with the spatial variation of GW fluoride content. Overall, the health risk distribution area of GW fluoride in WFC is decreasing in the following order: infants > children > teenagers > adults.