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Simple Summary: This study investigated the contamination status and health risk of potentially toxic elements (PTEs) such as Hg, As, Pb, Fe, Zn, and Cu in four selected fish species from one of the largest wetlands in South Asia. The results showed that the degree of contamination varied among the fish species, with Fe being the most abundant PTE, followed by Zn, Cu, Pb, As, and Hg. Among the fish species, Glossogobius giuris had the highest Hg concentration, while Nandus nandus predominantly accumulated As. Health risk assessment showed the PTEs posed no substantial risks to consumers. The carcinogenic risks (CR) derived from Pb intake were also below the standard limit, further supporting the conclusion that the consumption of the studied fishes did not pose a potential health harm to consumers. Overall, the study provided evidence that, at the existing consumption rate, the analyzed fish species from the freshwater are safe to consumers. Potentially toxic elements (PTEs) such as Hg, As, and Pb have become concentrated in the aquatic ecosystem as a result of increased human activities. However, these substances frequently have synergistic or antagonistic effects on the human body or other animals. As a result, there are concerns world-wide that commercially available food products, especially fish, may be contaminated with hazardous elements. In this study, samples of four selected fishes, Gutum (Lepidocephalichthys guntea), Baim (Macrognathus pancalus), Baila (Glossogobius giuris), Meni (Nandus nandus) were analyzed from one of the largest freshwater wetlands (designed as a Ramsar Site) in South Asia to evaluate PTEs contamination status and human health risk assessment. The result demonstrated that the degree of contamination for six PTEs decreased in the following sequences for fish: Fe > Zn > Cu > Pb > As > Hg. The edible part of G. giuris had the maximum value for Hg (0.42 μg/g dw), while N. nandus predominantly accumulated As (<0.41 μg/g dw). The estimated daily intake (EDI) values ranged from 0.003 to 1.75, which was much lower than the recommended values. The hazard index (HI), THQ, total target hazard quotient (TTHQ) scores through consuming fish followed the decreasing order of Fe > Hg > Cu > Zn > Pb. The values for each index were less than 1, indicating that there were no substantial health risks for the consumers. The carcinogenic risks (CR) derived from the intake of Pb ranged from 4.92 × 10−8 to 4.14 × 10−8 for males and 5.45 × 10−8 to 4.59 × 10−8 for females, which also did not exceed the standard limit (1.00 × 10−6). This study demonstrated that, under the existing consumption rate, there was no potential health harm to consumers from consuming the studied fishes. This study offers a chance to regularly check PTEs in this environment, reducing the contamination of heavy metals. [ABSTRACT FROM AUTHOR]