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The Cree Peoples of the Eeyou Istchee territory (northern Québec, Canada) rely on fish as a part of their traditional and contemporary diet. Fish is a culturally significant food and a source of nutrients, but it is also the main pathway of methylmercury (MeHg) exposure for humans. Significant hydroelectric developments in this territory are responsible for increasing the concentrations of MeHg found in fish and thus increase the human exposure to this neurotoxic compound. As this is an ongoing issue, our study assessed the current MeHg fish-tissue concentrations in Eeyou Istchee and the spatial distribution of MeHg hot spots using Geographic Information Systems (GIS) to compare our results to those found in previous studies from the same region. We also performed a probabilistic hazard assessment of the exposure to MeHg from fish consumption. The GIS models indicated significant clustering of increased MeHg fish-tissue concentrations around hydroelectric reservoirs and showed higher MeHg fish-tissue concentrations around newer hydroelectric reservoirs, but a decrease in older reservoirs. Similar to past studies, we found that fish consumption continues to pose an MeHg exposure hazard for men who consume large piscivore species (i.e., lake trout, walleye, and pike), while for women, lake trout and walleye consumption constitute a hazard (any size), and pike should be consumed with caution. The hazard of exposure was mainly associated with intake rate in all cases. Lastly, we recommend monitoring MeHg fish-tissue concentrations in this region, as the MeHg tissue concentrations remain elevated, and updated consumption guidelines where and when necessitated.