Data are presented for 13 trace metals (Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Se, Mo, Ag, Cd, and Pb) in 38 bivalve mussels Anodonta woodiana from four separate sites (Huzhou, Dapu, Sansandao, and Manshan) around the Taihu Lake of China. All elemental concentrations generally ranked in decreasing order, Mn > Fe > Zn > As ≈ Cu ≈ Cd ≈ Se > Pb > Mo ≈ Ag, except that Cr, Co, and Ni were not detected. Anodonta woodiana was able to bioaccumulate essential Mn and toxic Cd to the extremely high level of 19,240 and 53 mg/kg dry weight, respectively. Geographical differences in the concentrations of trace elements were usually significant between sampling sites except for As and Pb, and the mussels from Sanshandao site had mostly accumulated or were contaminated with essential and toxic elements. The residue level of Cd in A. woodiana from the Sanshandao and Manshan sites appeared to be even higher than those of the essential elements Cu and Se, and exceeded the corresponding maximum residue limits of China. The present study provides the most recent information on trace element bioaccumulation or contamination in Taihu Lake and, further, suggests that A. woodiana can be used as a suitable bioindicator for inland water environmental monitoring.