Heavy metal pollution in forest and agroforestry soils represents a persistent environmental challenge with direct implications for ecosystem functioning, food security, and human health. In tropical and subtropical regions, intense weathering, rapid organic matter turnover, and dynamic redox conditions strongly modulate metal mobility, bioavailability, and long-term soil vulnerability. This review synthesizes current knowledge on the sources, biogeochemical mechanisms, ecological impacts, monitoring approaches, and restoration strategies associated with heavy metal contamination in forest and agroforestry systems, with particular emphasis on tropical landscapes. We examine natural and anthropogenic metal inputs, highlighting how atmospheric deposition, legacy contamination, land-use practices, and soil management interact with mineralogy, organic matter, and hydrology to control metal fate. Key processes governing metal behavior include sorption and complexation, Fe–Mn redox cycling, pH-dependent solubility, microbial mediation, and rhizosphere dynamics. The ecological consequences of contamination are discussed in terms of soil health degradation, plant physiological stress, disruption of ecosystem services, and risks of metal transfer to food chains in managed systems. The review also evaluates integrated monitoring frameworks that combine field-based soil analyses, biomonitoring, and geospatial technologies, while acknowledging methodological limitations and scale-dependent uncertainties. Finally, restoration and remediation strategies—ranging from phytotechnologies and soil amendments to engineered Technosols—are assessed in relation to their effectiveness, scalability, and relevance for long-term functional recovery. By linking mechanistic understanding with management and policy considerations, this review provides a process-oriented framework to support sustainable management and restoration of contaminated forest and agroforestry soils in tropical and subtropical regions.