In water-scant regions, the reuse of (un)treated acid mine drainage effluent (AMD) water for crop irrigation has turned into a prerequisite. The study assesses the levels of heavy metals, and health risk assessment in two potato crop cultivars, namely, Fianna and Lady rosetta (both determinate and indeterminate) when exposed to irrigation with different fly ash: acid mine drainage amelioration ratios. The study investigates the health risk assessment in the potato tissues namely, stem, tubers, new and old leaves of the potato cultivars. The treatments constituted a control, 50% FA: AMD, 75% FA: AMD ratio, and 100% AMD (untreated AMD). The results showed that the heavy metals of plants irrigated with AMD mixed with FA was significantly affected differently at harvest. In summary, the concentration of Cd was over the WHO acceptable standards in untreated acid mine drainage water. Fianna recorded 1.34 mg/kg while a notably decrease was observed in Lady rosetta with (1.01 mg/kg). In any case, FA was proven to significantly lessen the Cd particles in both FA-AMD ratios: Cd content was 0.98 mg/kg and 0.84 mg/kg in 50% FA: AMD treatment for Fianna and Lady rosetta separately, while the recommended maximum limit is 0.1 mg/kg. With the readings recorded, they are slightly high according to the CODEX general standard for food contaminants and toxins in food and feed (CODEX STAN 193-1995). Then again, in 75% FA: AMD ratio, the Cd concentration was 0.04 mg/kg and 0.03 mg/kg for Fianna and Lady rosetta exclusively. It is in this way obvious that FA adsorbed the Cd ions, and the two cultivars fulfill the CODEX guideline, nonetheless the potato crop irrigated with a 75% FA: AMD ratio can be consumed by humans without causing any detrimental effects.