In this study, the concentrations of some metals in sediments and consumable fish from the Kwilu Ngongo River, province of Bas-Congo, Democratic Republic of Congo, are investigated. The digested muscle tissue, whole fish, and river sediment samples were subjected to trace element analysis by inductively coupled plasma mass spectroscopy and by using an automatic mercury analyzer. The highest values of trace metals in fish muscle tissue were found for Cr, Cu, Pb and Hg, with maximum values of 8.6 (Cr), 15.7 (Cu), 6.0 (Pb) and 3.3 (Hg) mg kg _1. These values are higher than maximum tolerable limits recommended by the European Commission Regulation for Food. The highest metal concentrations in sediments were 81 (Cr), 86 (Cu), 21 (Sb), 41 (Pb), and 0.8 (Hg) mg kg _1. Sediment toxicity tests using benthic crustaceans (ostracods) revealed mortality rates of up to 30% after six days of exposure to the sediments near the sugarcane industry outlet pipe discharge. The contamination of the sediments and fishes by the elements and the bio-accumulation of mercury in fish most likely arise from the adjacent agricultural fields where intensive sugarcane cultivation since 1925 has probably contaminated the soils through the long-term use of fertilizers and pesticides.