To assess distribution of metal contamination and grain size in the sediments of Nakdong River (South Korea), surface sediments were collected from 21 sites and analyzed. Within the study area, sand was typically the dominant grain size. However, because of the reduced flow rate and flow velocity, sites adjacent to weirs were composed of relatively fine sediments. A comparison of sediment metal concentrations with sediment quality guidelines proposed by the USA, Canada, and South Korea revealed that sites adjacent to weirs had concentrations that exceeded the standard values. The enrichment factor, index of geo-accumulation, and pollution load index calculation results that the sites adjacent to weirs showed high contamination, with Cd accounting for the highest contamination levels. The metals in the study area varies due to the effect of fine sediments; therefore, high concentrations of metals accumulated adjacent to weirs where fine sediments were distributed in greater proportions. Furthermore, Cd exhibited the greatest contribution to metal contamination in the study area and the highest contamination levels were found at NS19 (adjacent to the Haman weir). Thus, the accumulation of fine sediment increased due to the influence of the weirs, thereby increasing the overall amount of metal contamination.