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Environmental media contamination with mercury, because of illegal artisanal small-scale gold mining (popularly called galamsey), is a major concern in Ghana; yet specific details as to how such contaminations are influenced or distributed across different galamsey operations have been lacking. We monitored mercury levels across nine different galamsey operations (Washing Board, Washing Plant, Anwona, Dig and Wash, Dredging, Underground Abandoned Shaft, Underground Sample Pit, Chamfi and Mill House) in three hotspot assemblies (Tarkwa Nsuaem, Amenfi East and Prestea Huni Valley) of the Western Region of Ghana. Triplicate samples each of background soil, surface water/drainage, slurry/sludge and galamsey waste materials (totaling 160) were obtained and analyzed using Atomic Absorption Spectrophotometer (AAS) to determine total Hg concentrations. From the comparison of mean ranked concentration of mercury, using the Kruskal-Wallis Test, it was realized that the observed differences in ranking was significant for all four environmental media considered. Thus, the poor handling, usage and disposal of mercury from the different galamsey activities did result in elevation of harmful quantities of mercury into the environment. Overall, the highest median value obtained for mercury was recorded at the Mill House galamsey sites and within slurry/sludge medium. This was followed by Chamfi, Washing Board, Washing Plant, Anwona, Dig and Wash and Dredging in descending order, with the Underground Abandoned Shaft and Underground Sample Pit galamsey types recording values below detection limit. In terms of their contribution to mercury contamination to the environment, Mill House, Chamfi, Anwona, Washing Board and Washing Plant galamsey types recorded the highest mean rankings. Overall, key priority information required for influencing reclamation and cleanup policy decisions for mercury, for the many affected wastelands across the country, can be derived from this paper.