Background.The concentrations of heavy metals in soil and potential risks to the environment and public health are receiving increased attention in China.Objectives.The objective of this paper is to review and analyze heavy metals soil contamination in urban and agricultural areas and on a national scale in China.Methods.Initially, data on soil heavy metals concentration levels were gathered from previous studies and narratively analyzed. A further statistical analysis was performed using the geo-accumulation index (Igeo), Nemerow integrated pollution index (NIPI), mean, standard deviation (SD), skewness and kurtosis. Pollution levels were calculated and tabulated to illustrate overall spatial variations. In addition, pollution sources, remedial measures and impact of soil contamination as well as limitations are addressed.Results.The concentration level of heavy metals was above the natural background level in most areas of China. The problem was more prevalent in urban soils than agricultural soils. At the national level, the soil in most of the southern provinces and Beijing were heavily polluted. Even though the pollution condition based on Igeo was promising, the Nemerow integrated pollution level was the most worrisome. The soils in about 53% of the provinces were moderately to heavily polluted (NIPI>2). The effects were noticed in terms of both public and ecological health risks. The major sources were waste gas, wastewater, and hazardous residuals from factories and agricultural inputs such as pesticides. Efforts have been made to reduce the concentrations and health risks of heavy metals, including policy interventions, controlling contamination sources, reducing the phytoavailability of heavy metals, selecting and rearing of grain cultivars with low risk of contamination, paddy water and fertilizer management, land use changes, phytoremediation and engineering techniques.Conclusions. China is experiencing rapid economic and technological advancements. This increases the risk of heavy metals contamination of soil. If serious attention is not paid to this problem, soil toxicity and biological accumulation will continue to threaten the sustainability of China's development.Competing Interests.The authors declare no competing financial interests