Introduction: Elite musicians face high risks of performance-related health problems, yet research mainly targets classical players. Metal musicians, despite unique demands, including fast tempos, headbanging, extreme vocal techniques, remain under-investigated, highlighting urgent need for broader, inclusive studies on musicians’ health.Objectives: This research work seeks to address two main questions:(1) What is the prevalence of physical and mental health disorders among metal musicians?(2) What are the main potential risk factors for developing physical injuries (musculoskeletal, vocal, hearing, etc.) or mental health conditions among metal musicians?Methods: This scoping review, guided by methodological recommendations (PRISMA_ScR) aimed to map existing evidence on metal musicians’ health worldwide, using the PCC (Population, Concept, Context) framework. Databases (PubMed, Science Direct, Scopus, EBSCO, LILACS) were searched using the following search equation (with variations for Science Direct): (metal OR heavy metal OR rock OR hard-rock OR punk) AND (music OR musician OR instrumental* OR vocal* OR singer*) AND (health OR injur* OR patholog* OR muscle OR voice).Results: From more than 5,000 references, 47 studies were included, and then categorised into musculoskeletal and neurological (n=9), vocal (n=9), hearing (n=10), mental health (n=12), mortality (n=4), and other issues (n=3). Findings highlight specific risks for metal/rock musicians, including injuries, hearing loss, vocal strain, psychological challenges, and elevated mortality rates.Discussion: This first scoping review synthesizes evidence on metal musicians’ health, highlighting musculoskeletal risks, vocal resilience, hearing loss, psychological stress, and elevated mortality. Despite shared issues with other musicians, unique practices like headbanging demand targeted research, prevention, and culturally informed approaches.