Tin mining is a widespread economic activity across various regions worldwide. Understanding the consequences of such operations is crucial for sustainable water management and environmental conservation. The current study aimed at determining the concentrations tin, lead and mercury in the water sources of Nyakahiimbura Stream in Mwerasandu, and assessed the physico-chemical properties including pH, turbidity, and chemical oxygen demand (COD) of the water from the Nyamuhimbura stream, Ntungamo district. Water samples from three locations, that is; the upstream, impact area and downstream of the Nyakahiimbura water stream were collected during the dry and wet seasons of the year 2024. The samples collected were analyzed for the physico-chemical properties in the laboratory while the Inductively Coupled Plasma-Optical Emission Spectrometry (ICP – OES) was used to determine the concentration of heavy metals in the water samples. The pH, COD values obtained were within the acceptable effluent standards while the turbidity values at the upstream and downstream of the dry season and downstream during the wet season were above the acceptable effluent Standards. The tin concentration was high in the dry season (0.09mg/L) as compared to concentration (0.118mg/L) in the wet season. Lead concentration was the same (0.015mg/L) in both seasons. The concentrations of the heavy metals showed some variations in both dry and wet seasons in the upstream, impacted area and the downstream of the study area as compared to the values of the effluent standards. The study recommends that alternative sources of water for domestic use should be sought of. Also, the government officials especially from the Ministry of Health should carry out awareness campaigns to members of the community about the health risks associated with the uptake of the contaminated waters for domestic purposes. Constructed wetlands should be in place around the mining sites to act as filters for the dangerous metals before the water enters the surrounding environment.