Heavy metals are naturally occurring elements with high atomic weight and density, and they are toxic to aquatic species even at low concentrations. They enter aquatic ecosystems through natural processes like rock weathering and volcanic eruptions, as well as human activities such as industrial processes and the use of fertilizers. Due to their non-biodegradable nature, heavy metals accumulate in the environment, affecting their reactivity, bioavailability, and toxicity. These metals can cause oxidative stress, enzyme inhibition, and DNA damage in aquatic organisms, leading to bioaccumulation, histopathological changes, reproductive toxicity, and behavioral alterations. This chapter explores heavy metals’ sources, pathways, and toxicological effects in aquatic ecosystems, aiming to understand their ecological and health impacts.