The content of trace elements from Crassostrea tulipa (Ostreidae, Bivalvia) from four localities (Pra Estuary, Densu Estuary, Kpone Beach, and Anyanui Creek) along the coast of Ghana has been used as a bioindicator of environmental pollution. The lowest values of heavy metals correspond to the Crassostrea shells from Densu Estuary and Anyanui Creek, whereas the highest contents are recorded in the shells from Pra Estuary and Kpone Beach. Densu Estuary and Anyanui Creek are located in areas not affected by major industries, and only Densu is located in a densely urbanized setting. Crassostrea shells from Densu Estuary are only enriched in Ni. However, the Total Organic Carbon content of the sediments of the Densu Estuary indicates anthropogenic organic pollution not evidenced by the composition of Crassostrea shells. The Crassostrea shells from the Pra Estuary show enrichment in most of the analysed trace elements (Li, Be, V, Cu, Cr, Zn, Ga, Y, Sn, Pb, U, Th, ∑REE, and As) compared with other studied sites. This enrichment is related to heavy metals influx to the Pra River by the mining activities, extensive forest clearance, and loss of soil minerals. The Crassostrea shells from Kpone Beach present comparatively high content of some trace elements (Be, Ba, Cu, Zn, Nb, Pb, and REE). The metal pollutants are related to the input of the Heavy Industrial Area of Tema (located around 3.5 km west of Kpone Beach) and urban effluences from the Greater Accra Region. The high content of Ba, Cu, Zn, and Pb in Crassostrea is directly related to high phytoplankton productivity (mainly for diatoms) linked to the input of trace metals transferred into the marine food webs. In addition, some analyses of gastropod shells from Kpone Beach indicate that Cerithium and Nerita are more sensitive to accumulating Ni and As than Crassostrea. The values of trace metals from the Crassostrea shells of the Densu Estuary and Anyanui Creek are comparatively low. Considering the role of Crassostrea shells as bioindicators for heavy metals pollution, the less polluted localities are Anyanui Creek and Densu Estuary, whereas Pra Estuary and Kpone Beach are affected by anthropic activities such as mining, urban effluents, and industry.