Presence of metallic elements in organisms is one of the important topics in environmental pollution, toxicology and food safety. It has been extensively studied because of the impact of these elements on the ecosystem and health of the seafood consumers. This study provides information on the concentration of some essential metals (copper, Cu; zinc, Zn) and non-essential metals (cadmium, Cd; lead, Pb) in the commonly consumed marsh clam, Polymesoda expansa, sampled randomly from Tanjung Lumpur mangrove forest, Kuantan, Pahang. It also focuses on the human health risk assessment in terms of toxicity of these metallic elements. Closed acid digestion method was used to digest the samples and Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES) was used to measure the metal contents in the samples. The mean concentration of each metal in the tissues was recorded on a dry weight basis. The average values were: Cu, 15.5 μg/g.; Zn, 296 μg/g ; Pb, 2.31 μg/g and Cd, 1.04 μg/g . These values are within the permissible limits set by Malaysian Food Regulation (1985) and the World Health Organization (1982). The pollution load index (PLI) value of 2.94 indicates that there is no serious metal pollution in this study area. The correlation coefficient matrix between four metallic elements shows positive value, suggesting that the selected metals may have originated from the same source and accumulated in the clam tissue. A positive correlation was noted between the size of the clam and concentrations of Cd, Zn and Cu whereas it was negative for Pb. The present finding shows that the marsh clams from Tanjung Lumpur are safe for human consumption. However, a proper and continuous assessment should be done in order to monitor any changes in the contents of metallic elements since Tanjung Lumpur is near the Kuantan city center and the mining activities at the upstream area might at some stage cause metal pollution.