The Tibetan Plateau is one of the highest and most pristine plateaus in the world, and its ecological environment has a significant impact on global climate and the distribution of water resources. Mercury (Hg), as a toxic metal pollutant, can have a severe impact on the health of living organisms and the ecosystem due to its presence in the environment. This study collected 336 soil samples from 28 sites across four typical surface vegetation landscapes (meadow, grassland, desert, and forest) on the Tibetan Plateau to measure soil THg (Total Hg) concentrations. The research aimed to explore the factors influencing soil THg levels, analyze pollution and environmental risks of THg in the surface soil, and evaluate the associated health risks to the local population. The results indicate that the mean soil THg concentration (31.84 ± 32.58 ng·g−1) of this study is compared to the background value of THg in Tibetan Plateau soils (37.0 ng·g−1), but there are significant differences in THg concentration among soils with different surface vegetation landscapes. The mean THg concentration in soils of forest vegetation types (74.42 ± 41.19 ng·g−1) is approximately twice the background value of Tibetan Plateau soils. In the forested regions of the southeastern, eastern, and southern Tibetan Plateau, soil concentrations of total mercury are relatively high, whereas in the desert areas of the northern, northwestern, and northeastern Tibetan Plateau, the concentrations are lower. Organic matter (soil organic carbon) being an important factor influencing the soil THg. Based on existing surface soil THg data from this and previous research in Tibetan Plateau (n = 477), 34.2 % of the samples show Hg pollution and potential ecological risks. However, the health risks of soil Hg to both adults and children are not significant.