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Port Hacking is a tide-dominated, drowned river valley at the southern edge of the Sydney conurbation (Australia) and is bordered by intense urbanization to the north and native bushland in the south. The current work provides a first-time, baseline evaluation of the magnitude of human-induced change and risk posed by sedimentary metals in Port Hacking and catchment. The estuary separates fluvial and estuarine sediment enriched in metals exhibiting moderate ecological risk from sediments with minimal anthropogenic change and no biologic