Shellfishes can easily accumulate metals via water and sediment and which may pose a human health risk by consumption. This study assessed the distribution of metals, including Cd, Cr, Cu, Pb, Ni, Zn, and Hg, in soft tissues of hard clam (Meretrix lusoria), surrounding water body, and sediment in the southwest coast of Taiwan. Hard clams contained the relatively higher concentration of the essential element, such as Zn, Cu, and Ni, and the metal concentration from high to low was Zn > Cu > Ni > Cd > Cr > Pb > Hg. However, the metal concentrations found in hard clam all were lower than the Sanitation Standard for Aquatic Animal of Taiwan. Results of bioaccumulation factors indicated that hard clam shows the ability of metal accumulation from water was higher than that from sediment. Moreover, the metal concentrations in hard clam were negatively correlated with body size except for Hg, which could be presented by the significant power function. Generally, hard clams from the aquaculture pond located on the southwest coast of Taiwan would not be harmful to adult consumers, except for people that consume shellfish more than 100 g. Besides strengthening the management of seafood safety and aquaculture, adjusting the eating and purchasing habits of the consumer could be a practical and feasible way for decreasing health risks. These results can assist the government in determining seafood safety and its implementation in Taiwan.