The coastal zone of Bangladesh, with a population density of 1278 people per square kilometer, is under serious threat due to heavy metal pollution. To date, many studies have been conducted on the heavy metal contamination in soils, water, aquatic animals, and plants in the coastal zone of Bangladesh; however, the available information is dispersed. In this study, previous findings on the contamination levels, distributions, risks, and sources of heavy metals in sediments and organisms were summarized for the first time to present the overall status of heavy metal pollution along coastal regions. Earlier research found that the concentrations of various heavy metals (HMs), particularly Co, Cd, Pb, Cu, Cr, Mn, Fe, and Ni in water, sediment, and fish in most coastal locations, were above their permissible limits. High concentrations of HMs were observed in sediments and water, like Cr of 55 mg/kg and 86.93 mg/l in the ship-breaking areas and Karnaphuli River, respectively, in coastal regions of Bangladesh. Heavy metals severely contaminated the Karnaphuli River estuary and ship-breaking area on the Sitakundu coast, where sediments were the ultimate sink of high concentrations of metals. Sedentary or bottom-dwelling organisms like gastropods and shrimp had higher levels of heavy metals than other organisms. As a result, the modified PRISMA review method was used to look at the critical research gap about heavy metal pollution in Bangladesh’s coastal areas by analyzing the current research trends and bottlenecks. Graphical abstract: [Figure not available: see fulltext.].