The metal-rich Vazante-Paracatu Mineral Belt, in central Brazil, hosts the Zn-Pb sulfide Morro Agudo District in the Mesoproterozoic (1.3–1.1 Ga) upper carbonate sequence of the Vazante Group. The Morro Agudo district is comprised of the Morro Agudo deposit and the Bento Carmelo, Sucuri, and Morro do Capão occurrences. This carbonate sequence also hosts the Fagundes, Ambrósia and Bonsucesso Zn-Pb sulfide deposits (northern part) and the zinc silicate Vazante and North Extension deposits (southern part). The structurally controlled, stratabound and stratiform styles of mineralization in the Morro Agudo orebodies have been variably classified as sedimentary exhalative, Irish-type and Mississippi Valley-type. In this study, laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) spot analyses of sphalerite and galena from the Morro Agudo district revealed that red sphalerite (interpreted as the last stage) has higher Fe and Mn and lower Bi, Co, Cu, Ge, Hg, Tl compared to the other types of sphalerite, whereas the first generation of galena (Gn-I) is enriched in Ag, Cd, and Se and depleted in Cu and Mn relative to later galena (Gn-II). Mineral paragenesis and principal component analysis (PCA) of ore mineral composition suggest that the Morro Agudo, Sucuri and Morro do Capão mineralized zones formed by similar processes involving Zn-Pb mineralizing fluids with various compositions, comprising two main elemental associations: (1) Fe, As, In, Mn, Sb, Ag; and (2) Cd, Bi, Co, Ga, and Se. Bento Carmelo is distinguished in PCA by its unique dolomite-hosted sphalerite composition with elevated concentrations of Cu, Ge, Hg and likely formed from distinct fluids or processes. Temperatures of the mineralizing fluids for the Morro Agudo district range from 82 to 320 °C, calculated based on the trace element composition of sphalerite. The styles of mineralization and ore compositions are consistent with MVT deposits; however, fluid temperatures are hotter than typical MVT mineralizing fluids and may reflect a higher geothermal gradient or active advective fluid flow during the Brasiliano orogeny.