During intensive aquaculture of Eriocheir sinensis (E. sinensis), wastewater containing feed additives, heavy metals, and antibiotics can cause water eutrophication and lead to the accumulation of complex pollutants in sediments. In this study, heavy metals and antibiotic resistance genes (ARGs) were analyzed for their distribution and accumulation patterns via ICP-OES and qPCR, and their correlations with bacterial communities in sediments from E. sinensis ponds were evaluated using co-occurrence network and redundancy analysis. Our results demonstrated that aquaculture activities significantly elevated the concentrations of heavy metals such as Cadmium (Cd) and Manganese (Mn) in the sediments, and Cd was identified as the dominant factor contributing to the increase in the potential ecological risk index (RI). The abundance of ARGs significantly increased, with sulfonamide resistance genes (sul1, sul2), β-lactam resistance genes (blaTEM), and integron-associated genes (intl1) showing the highest levels. Correlation and redundancy analyses showed that most ARGs were positively correlated with and linked to Proteobacteria, Bacteroidetes, and Dechloromonas as potential hosts. Positive correlations were generally observed among heavy metals, suggesting a common source, namely aquaculture wastewater, and some showed positive associations with Acidobacteria. This study provides a theoretical basis for further understanding the distribution, accumulation patterns, and coupling relationships of heavy metals and ARGs, as well as their relation and effects on bacterial communities in the sediment of E. sinensis ponds.