Within the Huaihe River Basin, Guohe River, as its second-largest tributary, serves as a critical water supply source. Recent industrial and agricultural advancements have led to increased trace element contamination, adversely impacting the water quality within Guohe River Basin. Therefore, this study aimed to investigate the distribution characteristics, sources, water quality and risk assessment of trace elements in the surface water, groundwater, and sediments across the basin. The results showed that the spatial distribution of trace elements in the surface water and groundwater of Guohe River Basin was that most of the high concentrations appeared in Qiaocheng District of Bozhou City, the mean concentration of Fe in Guohe River sediments was the highest, the mean concentration of Sb was the lowest. The PMF source analysis results showed that the main source of trace elements in Guohe River Basin was natural geological processes, followed by human activities. The sodium adsorption ratio (SAR) indicated that the surface water samples of Guohe River in two seasons had high sodium and salinity hazards. The water quality index (WQI) showed that surface water and groundwater samples in the northwestern of Guohe River Basin had poor water quality. The results of the risk assessment showed that As and Mn posed great ecological risks to surface water and groundwater, respectively, and that F− was the pollutant with the most potential health risk hazard in the basin. The Geo-accumulation index (Igeo) results showed that Cd, Se and As should be taken seriously as the main contaminants of the sediments in Guohe River Basin. KeywardsTrace elements; Source analysis; Sodium adsorption ratio; Water quality index; Risk assessment; Geo-accumulation index.