This study explored the distribution of macronutrients (Ca, Mg, Na, K) and lithogenic (Ba, Cr, Ni, Mn, Fe) and mining-related (As, Pb, Cd, Cu, Zn) toxic metalloids and metals (TMMs) in tomato (Solanum lycopersicum L.), and its effects on plant development, productivity, genotoxicity, and human health, using a soil affected by mine tailings (A f S) and an unaffected control soil (CS). The chemistry of soils reflected their mineralogy, and Fe-Ti oxides, sulfides and sulfosalts were found to be the most significant reservoirs of TMMs. A f S had concentrations of mining-related TMMs 15 to 945 times greater than background (continental crust) levels, and 1.98 to 17.8 times above those of CS. Whitin tomato plants, TMMs were mostly concentrated in the roots but only As and Cd had BCF >1.0 in A f S. Translocation was also limited to As and Cd in plants from A f S, whereas Ba, Ni, Mn, As, Cd, Cu, and Zn were translocated in CS. Tomato plants from A f S exhibited important alterations in morphological and physiological parameters, with a significant reduction in yield (up to 52%) and nutrimental (up to 81%) contribution relative to plants from CS. A f S plants showed higher DNA damage than CS plants, expressed by an increase in the genotoxic parameters of tail length, tail intensity, and tail moment in the alkaline comet assay. In fruit from both soils, As and Cd exceeded the maximum allowable concentrations proposed by FAO/WHO up to 25 and 54 times, respectively. Moreover, the combined ingestion of TMMs likely poses a high risk of both non-carcinogenic and carcinogenic diseases to consumers-particularly to children., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 Elsevier Inc. All rights reserved.)