Natural thermal and mineral waters are widely distributed along the Hellenic region and are related to the geodynamic regime of the country. The diverse lithological and tectonic settings they are found in reflect the great variability in their chemical and isotopic composition. The current study presents 276 (published and unpublished) trace element water data and discusses the sources and processes affecting the water by taking into consideration the framework of their geographic distribution. The dataset is divided in groups using temperature- and pH-related criteria. Results yield a wide range of concentrations, often related to the solubility properties of the individual elements and the factors impacting them (i.e. temperature, acidity, redox conditions and salinity). Many elements (e.g. alkalis, Ti, Sr, As and Tl) present a good correlation with temperature, which is in cases impacted by water rock interactions, while others (e.g. Be, Al, Cu, Se, Cd) exhibit either no relation or an inverse correlation with T possibly because they become oversaturated at higher temperatures in solid phases. A moderately constant inverse correlation is noticed for the vast majority of trace elements and pH, whereas no relationship between trace element concentrations and Eh was found. Seawater contamination and water-rock interaction seem to be the main natural processes that influence both salinity and elemental content. All in all, Greek thermomineral waters exceed occasionally the accepted limits representing in such cases serious harm to the environment and probably indirectly (through the water cycle) to human health.Supplementary InformationThe online version contains supplementary material available at 10.1007/s11356-023-27829-x.