The aim of this study was to carry out a quali-quantitative analysis of the presence of non-essential and essential trace elements in freshwater crayfish (Procambarus clarkii) edible tissues to establish the healthiness of this product and to evaluate the pollution status of the sampling sites included in the present study. P. clarkii is one of the most common species of freshwater crustaceans in Italy, regularly consumed by local people. Moreover, the crayfish, due to its trophic position and diet, can be considered as an excellent bioindicator of the health status of the ecosystem. We collected sixty crayfish samples from two different sites in Campania (Italy): Villa Literno and Sessa Aurunca. Concentrations of trace elements were determined by Inductively Coupled Plasma Optical Emission Spectroscopy (ICP-OES). Our data showed low concentrations of Cd, Hg and Pb, with values below the European Commission MRL (Commission Regulation (EC) 1881/2006). We suggest that data obtained from this study showed that crayfish collected from Villa Literno and Sessa Aurunca were safe for human consumption. Furthermore, the results of this research indicated mild contamination of heavy metals of the sampling sites, indicating a good health status of the area’s aquatic ecosystem.