Due to increasing emissions from ongoing development of the oil sands in Northern Alberta, Canada, there is concern that local residents and organisms are experiencing elevated exposures to hazardous contaminants. We modified an existing human bioaccumulation model (ACC-Human) to represent the local food chain in the Athabasca oil sands region (AOSR), the focus of oil sands development in Alberta. We used the model to assess the potential exposure to three polycyclic aromatic hydrocarbons (PAHs) among local residents that have a high intake of locally sourced traditional foods. To place these estimates into context, we complemented them with estimated PAH intake through market foods and smoking. Our approach was able to produce realistic body burdens of the PAHs in aquatic and terrestrial wildlife and in humans, both in magnitude and with respect to the relative difference between smokers and non-smokers. Over the model simulation period (1967–2009), market food was the dominant dietary exposure route for phenanthrene and pyrene, while local food, and in particular local fish, dominated the intake of benzo[a]pyrene. Exposure to benzo[a]pyrene therefore was also predicted to increase over time in concert with expanding oil sands operations. Those smoking at the average rate of Northern Albertans take in an additional amount of all three PAHs that is at least as large as dietary intake. Estimated daily intake rates are below toxicological reference thresholds for all three PAHs. However, daily intake of BaP in adults is only ∼20 fold below those thresholds and is predicted to increase. Key uncertainties in the assessment included the effect of food preparation on the PAH content in food (e.g., smoking of fish), the limited availability of market food contamination data specific to Canada, and the PAH content of the vapor phase of first-hand cigarette smoke. Considering the satisfactory model evaluation, ACC-Human AOSR should be suited to making predictions of future contaminant exposure based on development scenarios in the AOSR or in response to potential emission reduction efforts. It should also be applicable to other organic contaminants of concern released by oil sands operations.