[en] The Serchio River and its tributaries in northern Tuscany were investigated for the chemical and isotopic compositions of waters and bed sediments. Bedrocks are mostly limestone/dolomite and siliciclastics, thermal spring systems are present in the catchment, and the main industrial activity is represented by paper-mills. Main results obtained are: (1) major ions in solution appear to be basically controlled by precipitation and lithology, as well as subordinately by direct inputs of thermal springs, (2) human influence on metals in the waters along the main Serchio and Lima rivers is indicated at a number of sites by increases in concentration compared to the chemical composition of upstream tributaries, (3) S and O isotope compositions delineate two main sources for aqueous SO₄^2-, that is dissolution of Triassic evaporite (directly or via thermal springs) and oxidation of sulfide dispersed in siliciclastic rocks. Anthropogenic contributions are probable, but they cannot be quantitatively assessed. Only SO₄^2- in the notoriously polluted Ozzeri tributary is suspected to be largely anthropogenic, and (4) the chemical composition of bed sediments is mainly influenced by lithology, apart from a number of technogenic elements in the upper part of the Serchio River and in some tributaries. Contamination possibly occurs at other sites, but geochemical indications are weak