There is a potential risk that the geochemical cycles of several critical metals will be affected when mining of these metals increases to meet the demand of green technology. The geochemistry of Be, Bi, Ga, Ge, and W, herewith called CM5, is lacking, yet is necessary to ensure responsible mine waste and water management. Beryllium, Bi, and W are all considered immobile, but in previous studies of skarn tailings in Yxsjoberg, Sweden, all three elements were mobilized. The tailings are enriched in CM5, together with pyrrhotite, calcite, and fluorite. The mobility and environmental impact of CM5 and F in surface waters downstream of the Yxsjoberg mine site, Sweden, were studied using monthly water samples from seven locations and analysis of diatoms at five of these locations. Bismuth, Ge, and W were present at low concentrations, transported in the particulate phase, and likely settled in the sediments hundreds of meters from the tailings. Beryllium and F were present at high concentrations and dominantly transported in the dissolved phase. At these pH conditions (5.6), Be should form insoluble hydroxides; however, elevated concentrations of dissolved Be were observed more than 5 km from the mine site. Diatoms downstream of the mine site were negatively affected by the mine drainage. The release of low quality neutral mine drainage will continue for hundreds of years if remediation actions are not undertaken since only a small portion of the tailings have weathered during 50-100 years of storage.