The geochemical and mineralogical characterization of mine waste provides essential information to understand the environmental and health impacts and to adequately manage present and historical mine waste sites. In the present study, mine waste samples from a former Zn-Pb mining site were subjected to different types of leaching tests, an in-vitro bioaccessibility test, and a mineralogical analysis. The samples were characterized by elevated pseudo-total Pb (up to 51,800 mg/kg), Zn (up to 60,100 mg/kg), Cd (up to 430 mg/kg), and As (up 3,170 mg/kg) concentrations, and contained, among other minerals, cerussite (PbCO 3 ) and galena (PbS). Lead is not only present in abundant concentrations, but also in highly bioaccessible forms, as determined from the in-vitro bioaccessibility test. This indicates the high risks