Wildfires, both natural and man-made, release and mobilize hazardous substances such as heavy metal(loids) (HM), which are known carcinogens. Following intense rainfall events, HM bound to soil organic matter are transported from the soil to surface water, resulting in water quality degradation. This study reviews the pollution status of HM in wildfire-affected soil and surface water, as well as their toxic effects on aquatic organisms and humans. The rate of HM release during wildfires depends on factors such as the type of tree burned and fire severity. The mobility of HM from soil to surface water is influenced by soil pH, organic matter content, rainfall intensity, and duration. The risk priority number (RPN) analysis indicates that both wildfire-affected soil and surface water require remediation to address HM contamination. HM concentrations in both soil and surface water decrease over time due to soil erosion, wind, storm events, and the depletion of burnt residues. The greatest percentage changes in HM concentrations in burned soils compared to unburned soils were observed for vanadium (340%), nickel (260%), and arsenic (110%). In surface water, the highest increases were seen for iron (740%), vanadium (530%), and aluminium (510%). Wildfire-affected water has been shown to cause toxic effects in aquatic organisms, including DNA damage, oxidative stress, and lipid peroxidation. The consumption of HM-contaminated water and fish poses significant health risks to humans. Therefore, post-fire monitoring of wildfire-affected areas is essential for designing treatment plants, assessing risks, and establishing maximum allowable HM concentrations in water.