This study was conducted to investigate the ionic and uoride concentrations in borehole water and its associated health risk potentials to residents of Makurdi town and its environs, Benue state, Nigeria. An aggregate of sixty-three (63) groundwater samples were retrieved from boreholes in twenty-one ( 21) diverse points within the study area and assessed for its physico-chemical composition with emphasis on uoride content and health risk potentials following standard eld and laboratory procedures. It was observed that uoride content in the sampled water exceeded the stipulated safe limit of 1.5 mg/L in about 33.33% of the total samples and ranged from 0.34-2.06 mg/L with an average of 1.26 ± 0.41 mg/L. Moderate a rmative relationships were observed to exist between F − and TDS; F − and EC; F − and Cl − ; F − and NO 3 − in the water samples indicative of a common source pollution. Principal Component Analysis (PCA) revealed that high uoride content in the water samples was associated with the dissolutions from quartzite and shale into the underlying deep aquifers. Fluoride risk assessment indicated that the hazard quotient (HQ) for ingestion of uoride laden water exceeded the threshold value in 66.7, 71.4, 52.4 and 9.5% of the samples for infants, children, teenagers, and adults respectively. It is concluded that groundwater in Makurdi is contaminated with excessive uoride levels in most locations; hence, the ndings of this study would serve as a basis for policy makers and regulatory bodies towards ameliorating the menace of groundwater contamination within the study area. Highlights Fluoride contamination of groundwater endemic in over 33 % of sample locations Moderate positive correlation exist between uoride and other contaminants PCA reveals uoride contamination of aquifers from dissolution of quartzite and shale Groundwater dominated by Na-SO 4 , Na-Cl and Mg-HCO 3 water types High risk of dental uorosis in infants, children and teenagers