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Digesta were collected from the intestines of seven species of bottom-feeding fish to better understand the role of incidental ingestion of sediment in exposing fish to inorganic contaminants. A composite sediment tracer variable, based on concentrations of Co, Cr, Ni, Ti, V, and Y in digesta and in sediment, was calculated to estimate sediment content of digesta. Concentration factors (mg/kg in digesta divided by mg/kg in sediment) of eight elements of interest were linearly regressed on this tracer variable. The relative importance of sediment ingestion to oral exposure was quantified. Zinc, Cd, and Cu were ingested mainly from sediment-free food. Arsenic, Cr, Ni, Al, and Pb, in contrast, were ingested mainly from sediment. As an example, 93% of the Ni in digesta from a brown bullhead (Ameiurus nebulosus) was from sediment and only 7% from food. Regressions of Al and Pb in digesta of suckers (Catostomidae) suggested an additional oral source, possibly from oxides coating biotic or abiotic surfaces. Overall, concentrations of 12 of 21 elements studied were positively correlated with sediment content (p < 0.005). Including sediment ingestion as a pathway for bottom-feeding fish is essential for accurately estimating exposures in toxicological studies. Environ Toxicol Chem 2024;43:1036-1046. Published 2024. This article is a U.S. Government work and is in the public domain in the USA., (Published 2024. This article is a U.S. Government work and is in the public domain in the USA.)