Tilapia is a model fish species used as a pollution biomonitor due to its tolerance and availability in many contaminated sites. Blue tilapia Oreochromis aureus specimens (n = 320) were collected in eleven dams influenced by mining in the SE Gulf of California region (dams 1, 2 and, 3 comprise 55 mining sites; dam 4 comprises 8; dams 6, 8, 10, and 11, ≤ 6; and dams 5, 7, and 9 include 19, 20, and 16 mining sites, respectively). Cadmium, Cu, Pb, and Zn concentrations were analyzed in the muscle, liver, gills, and guts to identify metal pollution and evaluate risks and seasonal changes. The distinct tissues exhibited different metal accumulation capacities, therefore allowed develop a diagnosis comparative between the eleven dams. In general, metal concentrations were higher in dams 1, 2, 5, and 9, which are associated with more mining sites in their sub-basins. The four metals exhibited the highest levels in the tilapia liver in dams 1 and 2, which can be related to the present and past mining activity in the lower watershed (55 sites) and the geothermal activity in these dams. In general, Zn exhibited the highest level in the tilapia livers from dams 1, 2, 3, 4, 5, and 10 compared to the maximum mean (220µg/g) concentrations previously recorded. The non-carcinogenic risks indicated that the Pb risk was enhanced when the intake was ≥ 231.5gweek-1 of tilapia muscle, indicating a potential risk of adverse health effects for the entire population.