Many tributaries of the Pearl River carry large amounts of terrestrial pollutants into estuarine areas. Heavy metals accumulate in estuarine sedimentary environments, and coupled and changing biogeochemical processes occur in estuarine areas. The results of this study showed that the heavy metal contents in the sediment were the highest near the confluence of the Humen and Jiaomen outlets in 2005 and 2019; they were the second-highest near the remaining outlets, and gradually decreased toward the lower reaches, with high contents on the western shore and low contents on the eastern shore. The heavy metal pollution mainly originated from the Pearl River runoff. The historical evolution of heavy metals in the Pearl River Estuary (PRE) effectively reflected the impacts of pollutant inputs from the river basin as well as industrial and agricultural production and anthropogenic activities in the Guangdong–Hong Kong–Macao Greater Bay Area (GBA). In 2019, the surface sediments were not contaminated with Hg, and the Pb and Zn contents decreased significantly, indicating significant advances in environmental management; however, the Cu and Cd levels still indicated heavy pollution level in the upper reaches.
