In this study, the proximate composition, levels of essential and heavy metals; and health risk assessment were evaluated in sesame seed (Sesamum indicum L.) samples purchased randomly from local markets of three study sites in Ethiopia. A 0.15 g of dried and homogenized samples were digested using 6 mL of HNO₃ (69–72%) and 3 mL of HClO₄ (70%) at 120 °C for 3 h. The levels of proximate composition and essential metals in the sesame samples were determined by the Association of Official Agricultural Chemists (AOAC) and Flame Atomic Absorption Spectrometer (FAAS), respectively. The moisture content, crude fiber, ash content, fat, crude proteins and carbohydrate of sesame samples ranged between 3.15% and 5.52%, 4.21–4.40%, 3.10–4.75%, 55.75–56.9%, 22.65–23.39% and 8.34–8.80%, respectively. The accuracy of the procedure was validated by percent recovery of samples for all metals varied from 85.60% to 102.00%. The mean levels of the metals (mg/kg) were found in the range of 37.20–70.10 (Na), 315.1–338.00 (K), 209.00–216.50 (Mg), 328.00–341.30 (Ca), 12.60–12.90 (Fe), 4.90–5.00 (Cu) and 8.30–8.70 (Zn) mg/kg. The THQ values of heavy metals were found < 1, indicating that the consumption of sesame may not cause health risks to local consumers. The values of HI ranged from 1.5 × 10⁻³ to 1.8 × 10⁻³ in the study areas and may not have a possible adverse health effect on the adult population from the consumption of sesame seeds.