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The main objective of the study is to evaluate the hydrogeochemical processes and potential health risk assessment for humans in groundwater of Maputaland coastal aquifer, South Africa. In this study, 53 and 42 groundwater samples were collected from bore wells during 2018 and 2019 and were analysed for major ions, minor ions, nutrients and trace metals. Na–Cl water type was dominant in groundwater followed by Ca–HCO₃. Cross plots revealed that ion exchange, reverse ion exchange, silicate weathering, seawater mixing and anthropogenic inputs from agricultural activities govern the groundwater chemistry. GIS methods were adopted to produce spatial distribution maps of major ions through which locations of groundwater contamination and the intensity of hydrogeochemical processes were identified. Mean concentration of trace metals were in the order: Zn > Li > Al > Fe > Mn > Cu > Pb …