Coal mining has significant economic and environmental implications. The extraction and combustion of coal release harmful chemicals and dust, impacting air, soil, and water quality, as well as natural habitats and human health. This study aimed to investigate the association between global DNA methylation, DNA damage biomarkers (including telomere length), and inorganic element concentrations in the blood of individuals exposed to coal mining dust. Additionally, polycyclic aromatic hydrocarbons were analyzed. The study included 150 individuals exposed to coal mining and 120 unexposed controls. Results showed significantly higher global DNA hypermethylation in the exposed group compared to controls. Moreover, in the exposed group, micronucleus frequency and age showed a significant correlation with global DNA hypermethylation. Blood levels of inorganic elements, including titanium, phosphorus, sodium, aluminum, iron, sulfur, copper, chromium, zinc, chlorine, calcium, and potassium, were potentially associated with DNA methylation and oxidative damage, as indicated by comet assay results. Furthermore, exposure to polycyclic aromatic hydrocarbons such as fluoranthene, naphthalene, and anthracene, emitted in mining particulate matter, may contribute to these effects. These findings highlight the complex interplay between genetic instability, global DNA hypermethylation, and environmental exposure in coal mining areas, emphasizing the urgent need for effective mitigation strategies.