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Urmia Lake, in the northwest of Iran, is the largest body of saline water in the Middle East, which has been desiccated in recent decades. To investigate the pollution status and ecological-health risks of heavy metals and metalloids in the surface sediments of this lake, 26 sediment samples were collected along the salt marshes of the lake and were analyzed for heavy metals and metalloid concentrations. The potential ecological risk assessment was carried out using enrichment factor (EF), geo-accumulation index (I geo ), contamination factor (CF), and potential ecological risk (E r i ) standard indices. The average concentrations (mg kg -1 ) of heavy metals and metalloids were as follows: Fe (11,714) > Sr (320.8) > Mn (274.3) > V (28.5) > Cu (24.7) > Zn (21.2) > As (17.3) > Ni (14.8) > Cr (12.6) > Pb (11) > Co (4.0) > U (1.7), Hg (0.6) > Mo (0.36). The concentrations of As, Hg, and Sr in lake sediments were higher than geochemical background values. The non-carcinogenic risks caused by heavy metals and metalloids were insignificant regarding health risks. Levels of carcinogenic risk for metal(loid)s were in the acceptable ranges (10 -6 -10 -4 ). The ecological risk was low, except for As, Sr, and Hg which showed moderate to significant EF, I geo , and CF values. Arsenic and Sr were enriched in the surface sediments in desiccated parts of the lake due to complete lake water evaporation. It seems that further drying of the lake increases the potential ecological risk of heavy metals and metalloids in the surface sediments of Urmia Lake., (© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)