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Environmental contamination by potentially toxic elements (PTEs) poses a significant challenge, particularly in the metropolitan regions of developing countries. This issue arises from the high levels of pollution driven by industrial growth and the increased traffic from fossil fuel-powered vehicles. Even after the wastewater treatment in treatment plants, PTEs often persist, posing risks to stream structure and function. This form of pollution is persistent, long-term, and irreversible, presenting a significant challenge in terms of freshwater conservation. This study aimed to assess the water quality and PTE concentrations in urban streams in Santo André, SP, Brazil, to identify the PTEs relevant to stream pollution. We analyzed the water quality in seven catchments in the Santo André municipality, in the metropolitan region of São Paulo, Brazil. The samples were collected during the dry (2021) and rainy periods (2022), and the concentrations of potentially toxic elements (PTEs) were analyzed via inductively coupled plasma–mass spectrometry (ICP-MS). The results showed elevated electrical conductivity (429 ± 211 μS·cm) and low dissolved oxygen concentrations in the streams (2.3 ± 0.95 μg·L), indicating potential problems such as eutrophication and toxicity to aquatic organisms. PTE concentrations, particularly those of Mn (30.8 ± 22.3 μg·L), Fe (91.1 ± 72.1 μg·L), and Zn (38.1 ± 28.7 μg·L), were among the highest concentrations. Seasonal variations affected the PTE concentrations, with Cr and Fe predominating during the dry season and Zn increasing during the rainy season. Associations were found between the PTE concentrations and the water pH, indicating the importance of continuous monitoring and remediation efforts. [ABSTRACT FROM AUTHOR]