Groundwater is the main source of freshwater in the European Union, yet freshwaters are polluted by organic contaminants if contaminants are not efficiently removed in wastewater treatment plants. Here we review the occurrence, fate, and risk assessment of organic contaminants included in the surface water watch list of the European groundwater bodies. This list includes 15 compounds: the hormones estrone, 17˗β˗estradiol and 17˗α˗ethinylestradiol; the pesticides methiocarb, metaflumizone, imidacloprid, thiacloprid, thiamethoxam, clothianidin and acetamiprid; and the antibiotics amoxicillin, ciprofloxacin, azithromycin, clarithromycin and erythromycin. We found that while contaminants commonly occur at low levels of few nanograms per L or are not detected in natural waters, there is an increasing number of reports displaying concentrations above 100 ng/L. Surface waters are commonly more contaminated than groundwater, suggesting that contaminants are removed in groundwater aquifers, e.g. by sorption or biodegradation. The estimated risk following water drinking by humans is higher for infants than for adults. Nonetheless, on the average, groundwater consumption does not pose a risk for human health at the reported groundwater concentrations. Risk assessment using fish, plants, algae, and invertebrates shows that only few species are impacted by contaminants, e.g. Americamysis bahia, Mysidopsis bahia, and Daphnia magna by pesticides; and the plant Lemna minor and the algae Microcystis aeruginosa by the antibiotics ciprofloxacin and erythromycin.