Understanding the pollution situation of potentially toxic metals (PTMs) in fine road dust (FRD) in emerging industrialized cities and identifying priority control factors is crucial for urban environmental management, resident health protection, and pollution control. This study conducted a comprehensive investigation on PTMs pollution in FRD in Zunyi, a representative emerging industrialized city in the karst region of southwestern China. The average contents of Ni, Cr, Mn, Cu, Zn, Ba, Pb, V, and Co in the FRD were 43.2, 127.0, 1232.1, 134.4, 506.6, 597.8, 76.1, 86.8, and 16.2mgkg-1, respectively, which were obviously higher than the corresponding background levels of the local soil except for V and Co. The comprehensive pollution level of the determined PTMs in the FRD was very high, primarily caused by Zn and Cu. The sources of PTMs in Zunyi FRD were traffic, industrial, construction, and natural sources, accounting for 38.0, 23.7, 21.9, and 16.4% of the total PTMs content, respectively. The PTMs in Zunyi FRD exhibited a low to moderate overall ecological risk level, mainly contributed by Cu and traffic source. The cancer risks of PTMs in Zunyi FRD were high for all populations. The non-carcinogenic risk of PTMs in Zunyi FRD was acceptable for adults, but cannot be ignored for children. According to the source-specific probabilistic health risk estimation results, the priority control source is industrial source and the priority control PTM is Cr. Local governments need to give more attention to the carcinogenic risks and health hazards posed by PTMs in the FRD.