Objective To understand the consumption of dendrobium officinale， by residents in nine Chinese provinces， and assess the cumulative levels of exposure related to four heavy metals （lead， cadmium， mercury， and arsenic） in dendrobium officinale consumers.Methods Consumption data from nine Chinese provinces from 2019 and 2022 and a literature review were used based on a simple distribution model and the hazard index （HI） method to assess the health risk of four heavy metals .Results Consumers mainly preferred dried dendrobium officinale （37.3%） and commonly consumed it by brewing tea or cooking soup. The average value of a single consumption amount was 8.2 g/person. Fresh dendrobium officinale was consumed by 12.9% of the surveyed population， primarily through juicing with an average single serving size of 30.8 g/person. The exposure assessment results indicate that in the case of dendrobium officinale （dried/fresh）， the exposure levels of four heavy metals exposure in dried products were consistently higher than in fresh ones. Additionally， the average exposure level of lead （dried/fresh） was the highest； arsenic exposure levels for different gender-age groups were above the health guidance value or 5% reference dose ［Margin of exposure （MOE>1）］. Average lead exposure exceeded the standard （MOE>1）， whereas the 95th percentile （P95） values exposure were below 1 （MOE<1）. Cadmium and mercury exposure levels are below the 5% health guidance value.The assessment results of heavy metal exposure in residents consuming dendrobium officinale in different provinces indicate that residents in Jiangxi Province have the highest levels of exposure to four types of heavy metals. The MOE values for high-end exposure to lead in both Jiangxi Province and Zhejiang Province are less than 1. The cumulative assessment of 4 elements indicates that the HI values for consumers of dendrobium officinale are all less than 1.Conclusion Consumers of dendrobium officinale in China have low health risks associated with arsenic， cadmium， and mercury exposure. However， individuals with high food intake individuals should pay attention to the health risks associated with lead exposure.