Coastal ecosystems in Pacific Island Countries and Territories are vital to local livelihoods, yet increasingly face pressures from urbanization. In Fiji, the Greater Suva Urban Area, where one-third of the nation's population live, exemplifies these challenges. This study examines spatial and temporal water quality variations in the coastal zone, focusing on physicochemical, nutrients, and clarity parameters. Using a Seabird Scientific SBE19 CTD and Thermo Scientific Orion™ AQUAfast™ colorimeter, coupled with hierarchical clustering and principal component analysis, six water quality clusters were identified, influenced by oceanic processes, river inputs, and anthropogenic activities. Key findings highlight nutrient enrichment near urban centers particularly at the Kinoya Sewage Treatment Plant outfall, where ammonia exceeded 17.8 mg/L, and significant variation observed in nitrate (up to 0.24 ± 0.06 mg/L) and nitrite (up to 0.24 ± 0.06 mg/L) concentrations near river mouths. Seasonal runoff contributed to elevated turbidity (up to 3.5 NTU) and total suspended solids (up to 14.7 mg/L) levels during wet months. Salinity, and temperature exhibited strong spatial and seasonal variability, reflecting land-ocean interactions and restricted water exchange. These findings emphasize the need for targeted action to mitigate nutrient pollution, urban runoff, and wastewater impacts. This study provides a cost-effective monitoring framework for water quality management, offering insights for sustainable coastal resource management in Fiji and other Pacific regions amidst urbanization and climate change.