Nitrosamines are a broad class of chemical compounds that are generally produced when amine congeners react with nitrosating substances, occasionally with nitrites present. Tobacco smoke, processed foods, certain medications, and industrial environments are among the many places in the environment where these substances are present. Because of their strong genotoxic and mutagenic properties, N-nitroso compounds-in particular, N-nitrosamines-have sparked worries about world safety. This review emphasizes nitrosamines' chemical interactions, metabolism, carcinogenic processes, control, and risk assessment in order to aid in this knowledge. It will help researchers manage nitrosamine-induced toxicity and promote safer pharmaceutical goods, as well as molecular biologists, analytical scientists, formulation scientists, and others in the research and development industry. The review examines the function of enzymes in nitrosamine metabolism, their capacity for DNA damage and mutagenesis, and epidemiological data correlating nitrosamine exposure with stomach and esophageal malignancies.