Accurately assessing the health risks posed by major contaminants is essential for protecting groundwater. However, the complexity of pollution sources and the uncertainty of parameters pose challenges for quantitative health risk assessment. In this study, a source-oriented groundwater risk evaluation process was improved by screening key pollutants, employing a combined hydrochemical and positive matrix factorization (PMF) approach for source apportionment, and incorporating two-dimensional Monte Carlo simulation for risk characterization. The application of this process to groundwater assessment in Central Jiangxi Province identified NO