The surface sediments from eleven sectors perpendicular to the Egyptian Mediterranean Sea coast, along the delta region, have been assessed. These sectors cover areas of Eastern Harbour, Abu Qir Bay, Rosetta, Abo Khashaba, Burullus, Baltim, Damietta, and Manzala. The assessment process is based on determining the eight metals’ (Fe, Cu, Zn, Mn, Ni, Co, Pb, and Cd) content, followed by applying different pollution and ecological risk indices such as enrichment factor (EF), geoaccumulation factor (Igeo), contamination factor (CF), Pollution Load Index (PLI), degree of contamination (Cdeg.), Nemerow Integrated Pollution Index (NIPI), and Potential Ecological Risk Index (PERI). The results indicate the average concentrations of metals (μg/g) were Fe (18,000), Mn (213), Zn (120), Ni (26), Co (13), Cu (12), Pb (10), and Cd (2). The single-pollution indices reveal that most metals were depleted to metal levels, the sediments were moderately polluted with Cd and unpolluted with other metals, and the CF values confirmed that the sediments were highly polluted with Cd and low contaminated with the rest of the metals. According to the integrated pollution indices, the Eastern Harbour, Damietta, Manzalah, and Bardawil (eastern Inlet) are the most polluted sectors relative to the rest, subjected to various point sources of pollution. Drainage management system is recommended to enhance water conservation and improve fish stocks.