Exploration of the pollution status of river-based water sources is important to ensure quality and safe drinking water supply for the public. The present study investigated physicochemical parameters of surface water in the upper segment of River Mahaweli, which provides drinking water to the Nuwara Eliya and Kandy districts of Sri Lanka. River surface water from 15 intakes and treated water from 14 Water Treatment Plants (WTPs) were tested for pH, water temperature, turbidity, EC, COD, 6 anions, 21 cations, 3 pesticides, and 30 antibiotics once every 3 months from June 2022 to July 2023. Except for turbidity and iron concentrations, all other parameters were within the permissible range as per the Sri Lanka Standard Specification for Potable Water (SLS 614:2013). The uppermost Kotagala WTP raw water had a high concentration of iron due to runoff from areas with abundant iron-bearing minerals. Turbidity increased as the river flowed downstream, reaching its highest value of 13.43 NTU at the lowermost Haragama. Four intakes had raw surface water suitable for drinking as per the Water Quality Index (WQI). Pollution increased gradually towards downstream mainly due to agricultural runoff, industrial effluents, and urbanization. Poor water quality at the upstream Thalawakale-Nanuoya intake was due to highly contaminated effluent water coming from Lake Gregory in Nuwara Eliya. Cluster analysis categorized WTP locations in the river segment into 3 clusters as low, moderate, and high based on contaminations. Principal component analysis revealed that the significance of the 41.56% variance of the raw water was due to the pH and the presence of heavy metals V, Cr, Ni, Rb, Co, Sr, and As. All treated water from 15 WTPs had very good to excellent quality. In general, heavy metal contamination was low as indicated by the heavy metal pollution index (HPI) and heavy metal evaluation index (HEI). The treatment process could remove up to 94.7% of the turbidity. This is the first attempt to cluster the river catchment of the Mahaweli River based on physicochemical parameters of river water. We present here the land-use pattern-based pollution of the river and efficacy of the water treatment process using the Mahaweli River Basin as a case study. Regular monitoring and treatment adjustments at identified points are recommended to maintain the delivery of safe drinking water.