Heavy metal contamination is a major global concern and additive toxicity resulting from the exposure to multiple heavy metal ions is more pronounced than that induced by a single metal species. Quantum dots (QDs) have demonstrated unique properties as sensing materials for heavy metal ions over the past two decades. With the rapid development and deep understanding on determination of single heavy metal ion using QD probes, this technology has been employed for sensing multiple metal ions. This review (with 97 refs.) summarizes the progress made in recent years in methods for multiplexed determination of heavy metal ions using QDs. Following an introduction into the importance of simultaneous quantitation of multiple heavy metal ions in environmentally relevant settings, the review discusses the applications of different types of QDs, i.e. chalcogenide, carbon, polymer and graphene in this field. Determination strategies based on fluorometric, colorimetric and electrochemical responses were reviewed including the testing mechanisms and differentiation between various metal ions. In addition, current state of the art sensor constructions, i.e. immobilization of QDs on solid substrate and sensor arrays have been highlighted. A concluding section describes the limitations, opportunities and future challenges of the QD probes. We also compiled a comprehensive table of currently available literature. The listed papers provided information in the following categories, i.e. type of QDs used, ligands or other components in the probe, metal ions tested, medium/substrate of the probe, transduction methods, discrimination mechanism, limit of detection (LOD) and concentration range.