Despite the risk of significant adverse toxicological effects of Hg to humans and wildlife, Hg use in anthropogenic activities, and artisanal small-scale gold mining (ASGM) in particular, is widespread throughout Latin America. However, there are few research and monitoring studies of Hg toxicity in fish and fish-eating wildlife in Latin America compared to North America. In the present paper, we reviewed the literature from published articles and reports and summarized and assessed data on Hg in fish from 10 391 individuals and 192 species sampled across Latin America. We compared fish Hg levels with toxicity reference values (TRVs) for fish and dietary TRVs for fish-eating wildlife. We determined that fish, piscivorous birds, and other wildlife are at risk of Hg toxicity. We observed a large disparity in data quantity between North and Latin America, and identified regions requiring further investigation. In particular, future biomonitoring and research should focus on exposure of wildlife to Hg in Peru, Chile, Uruguay, the eastern and northern regions of Brazil, Venezuela, Ecuador, and Colombia. We also discuss Hg risk assessment methodological issues and recommend that future evaluations of Hg risk to wildlife must collect key physiological variables, including age, body size, and ideally Hg-to-Se molar ratios. Integr Environ Assess Manag 2020;00:1-14.