Several High Andes Rivers are characterized by inorganic water pollution known as acid mine drainage (AMD). The aim of this study was to assess the relationship between metal concentrations in the sediments and the macroinvertebrate communities in two river basins affected by AMD. In general, the taxon diversity of the macroinvertebrate community at the family level was low. The concentrations of Cd, Cu, Zn, Pb and Ni at mining sites were higher than at unpolluted sites. The pH of the water was alkaline (7.0-8.5) in unpolluted sites, whereas it dropped to very low values (<3) at mining sites. Redundancy Analysis (RDA) showed that pH was the best predictor of macroinvertebrate community richness. The number of macroinvertebrate families decreased gradually with increasing acidity, both in pools and riffles, though it is suggested that riffle communities were more affected because they are in closer contact with the acid water.