A bibliographic review was carried out to establish the state of knowledge of a mining area with several centuries of exploitation and currently abandoned. The selected case study, the Sierra Minera de Cartagena-La Union (Spain), has a long history of mining activity, ending in 1990. The area is rich in metallic sulphide (lead, zinc and iron), with underground mines and quarries. The zone is very close to important populations and affects protected sites of special ecological value. It is also adjacent to areas dedicated to agriculture and important centres of tourist interest. It is a territory that meets the requirements to be classified as a critical area, as it is in a state of unstable physical and geochemical equilibrium, giving rise to possible risks to human health and ecosystems. A literature review was carried out according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology criteria, consulting a large number of related publications. The results obtained using the Source-Pathway-Receptor model make it possible to identify the main impacts caused by the contamination sources, the main routes of contamination, as well as the transfer to the biota and the influence on adjacent agricultural soils. In this study, lead, cadmium, zinc, arsenic, copper and manganese were considered as potential toxic elements (PTEs), and data were obtained on concentrations in soil, water and air as well as in fauna and flora. Finally, once the receptors and the associated risks to the ecosystem and human health were identified, a conceptual model of the contamination was drawn up to consider a management proposal to tackle the problems associated with this area, which would also be applicable to critical mining zones.