Flash floods are one of the harshest natural hazards, having a wide range of substantial impacts for human and environmental health in the short-term and long-term. On 15 November 2017, a high-intensity storm caused a catastrophic flash flood event in the town of Mandra, a western, outer suburb of the Athens Metropolitan Area in Greece. In this study, we determine the aqua regia extractable concentrations of trace elements in residual sediments and associated soils after the flash flood and evaluate the fractionation of contaminants in geochemical compartments. Geochemical data are coupled with physicochemical parameter measurements and mineralogy to identify possible factors explaining the variability of trace element concentrations, while a dilute acid extraction is used to monitor changes of the reactive fraction of the trace elements over the term of 1 year following the flood event. Aqua regia concentrations in flood-deposited sediments reached values of 1 mg/kg (Cd), 24 mg/kg (Co), 183 mg/kg (Cr), 599mg/kg (Cu), 1080 mg/kg (Mn), 195 mg/kg (Ni), 122 mg/kg (Pb) and 945 mg/kg (Zn). Multivariate statistical techniques classified the elements according to their natural or anthropogenic origin. Trace elements of geogenic origin (As, Co, Cr, Mn, Ni) dominate in flood deposited material. The cluster of anthropogenic elements (Cd, Cu, Pb, Zn,) shows significant correlation with total organic carbon and magnetic susceptibility, while a significant seasonal variation has been observed for total organic carbon, Cd and Mn contents in the deposited sediments. Results allow a better understanding of the distribution of elements in the surface cover during and after catastrophic events in urban areas and provide useful information on the long-term exposure of the residents.