Concern over health risk from consumption of bivalves originating from Marudu Bay is escalating due to the rapid agricultural development surrounding the bay. This has motivated us to estimate the health risk index (HRI) of heavy metals from four commercially important and highly exploited bivalve species which are abundant in the bay. Samples (n = 30) of green mussel (Perna viridis), Asiatic hard clam (Meretrix meretrix), Pacific oyster (Crassosstrea gigas) and marsh clam (Polymesoda expans) were acquired from fishermen in Kg. Teritipan, Marudu Bay. These bivalves were analyzed for heavy metals content using the Inductively Couples Plasma-Optical Emission Spectroscopy (ICP-OES). The study found that the mean contents of Arsenic (As) and Manganese (Mn) in all analyzed bivalves exceeded the permissible limits as well as copper (Cu), lead (Pb) and zinc (Zn) in Pacific oyster, and Zn in marsh clam. It was also noticed that consumption of different bivalve species may bring about health risk from different metals as indicated by varied Total Hazard Index (THI) values. Consumption of the four bivalves was noticed to promote high health risk from As intoxication. Although metal pollution index (MPI) analysis revealed that the bivalves from the bay are currently not seriously impacted by heavy metal pollution, vigorous efforts should be taken to preserve the natural condition of the bay for years to come. There are several ways to minimize health issues from bivalve consumption which include keeping the bivalve natural habitat away from heavy metals pollution by strictly enforcing environmental laws and policies, establishing zones for bivalve fisheries, monitoring heavy metals concentration in bivalve on a regular basis and making depuration process a compulsory requirement in every seafood restaurant throughout the country.