Fish is among the most affordable and readily available protein sources for communities residing near water bodies. However, the recent pollution status of aquatic ecosystems has rendered fish consumption risky for human health. The study evaluated metal levels in the liver, gill, and muscle tissues of Redbreast tilapia (Coptodon rendalli) from Inanda and Nagle dams in the uMgeni River system. Metals, Al, Sb, Cd, Cr, Fe, Mn, Mo, Pb, and Zn were analysed using ICP-OES. Fish size showed no significant difference between the two dams (p > 0.05) whereas a descending trend liver > gill > muscle was observed for most metal levels at both dams. Moreover, there was a clear separation for metal levels in the liver, gill, and muscle between the two dams (p < 0.001) and a similar trend was observed for organs in each dam (p < 0.001). No relationship was observed between fish length and metal levels and no definite trend was observed for inter-metal relationships. Antimony, Cr, and Pb showed THQs greater than 1 at both dams which suggests health risks for consumers. Molybdenum has also shown a concerning THQs with some individuals exhibiting values ranging from 0.5 – 0.9. These findings suggest that consuming C. rendalli from the Inanda and Nagle dams could result in adverse health effects from Sb, Cr and Pb.