Trace metal and metalloid levels were measured in eggs of the NW Atlantic leatherback turtle (Dermochelys coriacea) from nesting grounds in the Bocas del Toro province, Panama, to infer exposure and associated risks to local communities. Samples were analyzed for a set of 26 essential and non-essential elements using inductively coupled plasma techniques. Median concentrations of Fe, Zn, As, Se and Sr in D. coriacea eggs were higher than previously reported for this species, which likely reflects differential contamination levels of specimens during foraging. The evaluation of non-carcinogenic human health risks from ingesting leatherback eggs has revealed potential deleterious effects due to high concentrations of As, Se and Sr for all examined age and gender groups, while Hg and Zn levels were above international standards for children. Hazard index (HI) values exceeded unity in all cases indicating serious health impacts related to possible additive effects of multiple metals co-occurring in the eggs. Our findings suggest that exposure to high (inorganic) As and Cr(VI) levels is associated with an increased carcinogenic risk, significantly exceeding the acceptable lifetime risk of 10⁻⁶ for both adults and children. Despite some limitations, such as unclear As and Cr speciation, our results demonstrated that the ingestion of D. coriacea eggs poses considerable health risks to local communities, and their consumption should not exceed 3.4 × 10⁻⁴ g (5.0 × 10⁻⁶ eggs) kg BW d⁻¹. Resource managers and conservationists should focus their attention to human health effects as an alternative tool to address egg poaching and consumption.