Dietary deficiency of selenium (Se) is a global health threat related to low Se concentrations in crops. Southern China has abundant Se-rich land resources, but the cadmium (Cd) pollution problem is prominent, which may lead to Cd exceeding the safety standard in Se-rich crops. Therefore, it is important to delineate Se-rich land without Cd pollution in order to develop green Se-rich agriculture. Based on soil/sediment geochemical survey data covering 2.3 million km2 of southern China, this study analysed the concentration and spatial distribution of Se and Cd, discussed their enrichment mechanisms and proposed suggestions for the safe use of Se-rich land. The results showed that the soil/sediments in southern China were significantly enriched in Se and Cd, and the median values were 0.31 mg·kg−1 and 221 μg·kg−1, which were 1.8 times and 2.5 times the national soil background values, respectively. In addition, a significant positive correlation was observed between Se and Cd, indicating that Cd contamination in Se-rich soils frequently exceeded the pollution limit. According to statistics, Se-rich land accounted for 32.13 % of southern China. However, due to the co-enrichment of Se and Cd, areas without Cd pollution accounted for only one-third of the total Se-rich area. In particular, the areas with co-enrichment of SeCd are primarily distributed in Yunnan, Guizhou, Guangxi, western Hubei, northwestern Zhejiang, western Hunan, southern Hunan and northern Guangdong. The enrichment of Se is predominantly associated with parent rocks (black and carbonate rocks). At the same time, the enrichment of Cd is influenced by the parent rocks and PbZn mineralisation and mining activities. Three recommendations for managing Se-rich land were proposed: imposing restrictions on the utilisation of heavily contaminated Se-rich land for agricultural production, adopting a rational approach towards utilising lightly polluted Se-rich land and actively promoting the development of Se-rich agriculture in uncontaminated Se-rich areas. In the future, it is necessary to develop technologies that simultaneously enhance Se absorption while inhibiting Cd absorption in order to safely exploit Se-rich lands affected by Cd pollution.