This research presents the first molecular characterization of the freshwater leech Hemiclepsis marginata (O. F. Müller, 1773) within the Ferghana Valley and Uzbekistan, shedding light on a species sparsely documented in Uzbekistan and Central Asia. Through detailed examination, we elucidate its morphology and biological attributes, while also providing a comparative analysis with specimens from the Oriental region. The leech was assigned to the Palearctic taxon Hemiclepsis marginata marginata, which exhibits species-level genetic differences from the Oriental Hemiclepsis marginata asiatica Moore, 1924. Our investigation reveals its parasitic relationship with the Aral basin snowtrout Schizothorax eurystomus Kessler, 1872 and the marsh frog Pelophylax ridibundus (Pallas, 1771). A distribution map and imagery of the newly recorded leech enrich our understanding of its ecology and distribution.