In this work, the distribution of chemical elements in samples of surface water from the Strumica River Basin, North Macedonia, was studied. The water samples were collected from a total of twelve sites. In addition to the Strumica River, samples were collected from its tributaries: Bansko, Dabile, Turija, Vodoča, Radoviška, and Injevska. The determination of the concentration of 21 elements (Ag,