This study presents an integrated assessment of surface water and groundwater quality in the Tula River basin, Mexico, encompassing the Endhó Dam and its associated aquifer. Water quality index (WQI) analysis revealed severe contamination along the Tula River (WQI >300), driven primarily by untreated sewage discharges from Mexico City and inadequate regional sanitation infrastructure. Elevated concentrations of COD, BOD, and nutrients indicate significant organic loading and eutrophication risk across aquatic ecosystems. Near Tula City, heavy metals including arsenic, copper, and zinc were detected at levels posing direct risks to human health. Groundwater quality was com-paratively favorable, with 71% of sampled wells recording WQI < 100; however, arsenic concentrations exceeding permissible limits by more than twentyfold were identified in select wells, attributed to geological sources. Semi-volatile organic compounds (SVOCs) were detected in both hydrological compartments, confirming cross-compartment con-tamination and highlighting the need for contaminant transport and fate modelling. The inertial contamination trajectory of the aquifer indicates that point-source reduction alone is insufficient for remediation. Comprehensive sanitation strategies, including pre-discharge treatment of Mexico City effluents, alongside proactive long-term aquifer monitoring and remediation programs, are urgently required to safeguard water sup-plies, public health, and ecological integrity in the Tula Valley.