Chembarambakkam Lake, an important freshwater reservoir in Chennai that provides drinking water to the city, has noticed a decline in water quality as a result of heavy metal pollution. This study aimed to evaluate the heavy metal contamination in the environment of Chembarambakkam Lake with a health risk assessment. This study involved a comprehensive analysis of toxic heavy metal levels in five waters, sediments, and commercially available freshwater fish samples, considering their bioaccumulation and potential risks to human health. We observed lead (Pb), cadmium (Cd), zinc (Zn), and copper (Cu) concentrations in water, sediments, and various fish species, including tilapia (Mozambique Tilapia), wild carp (Hemiculter leucisulus), pearl-spot (Etroplus maculatus), spotted barb (Barbodes binotatus), and snakehead murrel (Channa Striate). The results indicated that, in order of prominence, the metals in the water were Cu > Zn > Pb > Cd, whereas those found in sediments were Zn > Cu > Pb > Cd. The metal concentration in the sediments varied between Cd (0.52-0.82 mu g/g), Cu (13.75-38.07 mu g/g), Pb (1.30-3.74 mu g/g), and Zn (12.60-61.12 mu g/g). Similarly, the metal concentrations in the water varied between Cd (0.63-0.72 mu g/L), Cu (5.35-55.17 mu g/L), Pb (BDL-12.39 mu g/L), and Zn (0.62-1.49 mu g/L). The order of metals in the fish was Zn > Cd > Cu > Pb. The Cd concentration ranged from 0.3 to 0.60 mu g/g, Cu was from BDL to 0.72 mu g/g, Pb was from BDL-0.68 mu g/g, and Zn was from 13.32-48.48 mu g/g. The Cd and Zn concentrations were consistently the highest across the fish, sediment, and water samples. These findings shed light on the health risks associated with heavy metal pollution in Chembarambakkam Lake and suggest the need for potential bioremediation approaches.