Groundwater is the only reliable water resource for drinking, domestic, and agricultural purposes for the people living in the Mount Cameroon area. Hydrogeochemical and R-mode factor analysis were used to identify hydrogeochemical processes controlling spring water quality and assess its usability for the above uses. Main water types in the study area are Ca-Mg-HCO(3) and Na-HCO(3). This study reveals that three processes are controlling the spring water quality. CO(2)-driven silicate weathering and reverse cation exchange are the most important processes affecting the hydrochemistry of the spring waters. While tropical oceanic monsoon chloride-rich/sulfate-rich rainwater seems to affect spring water chemistry at low-altitude areas, strong correlations exist between major ions, dissolved silica and the altitude of springs. In general, the spring waters are suitable for drinking and domestic uses. Total hardness (TH) values indicate a general softness of the waters, which is linked to the development of cardiovascular diseases. Based on Na %, residual sodium carbonate, sodium adsorption ratio, and the USSL classification, the spring waters are considered suitable for irrigation. Though there is wide spread use of chemical fertilizers and intense urban settlements at the lower flanks of the volcano, anthropogenic activities for now seem to have little impact on the spring water quality.