Hydrothermal fluids, hydrothermal gases, porewater and seawater were collected from the La Calcara (LC) hydrothermal area (n = 34). Additional samples were taken at Bottaro North (n = 2), Black Point (n = 3) and Panarea Harbor (n = 3). Total Hg (THg) porewater concentrations ranged from 300 to 6200 pM, while dissolved Hgdiss concentrations were generally lower by two to three orders of magnitude. Hydrothermal fluids had concentrations up to 26,000 pM. Mono- and dimethyl Hg (MeHg) were below detection. Total Hg in the gases (Hggas) ranged from 0.9 to 1899 nmol/m3.The THg concentration correlated positively with temperature (r = 0.86), while Hgdiss did not show any correlation (r = −0.02). The origin of Hg in the study area was interpreted to be hydrothermal. However, a clear trend was absent since ambient temperature porewaters had Hg concentrations as high as those porewaters with elevated temperatures. This was considered to be due to a combination of chemical reactions and complex flow patterns beneath the hydrothermal system. The concentration of Hg in the hydrothermal gases ranged from 0.9 to 1899 nmol/m3. This large range was ascribed to subsurface reactions with H2S and CH4 combined with the presence or absence of a sediment cover.Above the LC area, Hg concentrations were higher than those in Mediterranean seawater, indicating that the hydrothermal discharge adds Hg to the Panarea coastal ocean and its ecosystem. This effect is local regarding seawater chemistry and global Hg budgets since with distance Hg concentrations returned to values as expected for Mediterranean seawater. However, since most, if not all, marine food chains originate in coastal water, hydrothermal Hg may bioaccumulate in a given food chain. With >70 known marine shallow-water hydrothermal systems, this may be a worldwide phenomenon that warrants further study.