Concentrations of pollutants with regulatory limits were determined in specimens of Chamelea gallina, a species of clam collected along the Abruzzi coastal region of the central Adriatic Sea. Nine sampling sites were selected to evaluate the distribution of contaminants in the environment and the health risk for consumers. The concentrations of all the examined compounds were lower than the maximums set by European legislation. Polycyclic aromatic hydrocarbons and total mercury were below the detection limit (0.18 μg/kg for benzo[a]anthracene, 0.30 μg/kg for chrysene, 0.12 μg/kg for benzo[b]fluoranthene, 0.08 μg/kg for benzo[a]pyrene, and 0.0050 mg/kg for total mercury) in all the analyzed samples. Mean concentrations of lead and cadmium were 0.104 and 0.110 mg/kg, respectively. Of the non-dioxin-like polychlorinated biphenyls, PCB-153, PCB-180, and PCB-138 were the most abundant at all sampling sites (1a to 9a) at 0.25 mi (ca. 0.4 km) and at some sampling sites (1b, 2b, 3b, 5b and 7b) at 0.35 mi (ca. 0.56 km). Principal component analysis revealed that the concentrations of dioxin-like polychlorinated biphenyls were similar at the majority of sampling sites, and O8CDD and 2,3,7,8-T4CDF were the predominant dioxin congeners.