Extensive application of amorphous silica nanoparticles (Si NPs) and ubiquitous cadmium (Cd) may increase their chances of coexposure to humans. Studies on combined effects of Si NPs and Cd in human cells are very limited. We investigated the potential mechanism of toxicity caused by coexposure of amorphous Si NPs and Cd in human liver (HepG2) cells. Results showed that Si NPs were not toxic to HepG2. However, Cd induced significant toxicity in HepG2 cells. Interestingly, we observed that a noncytotoxic concentration of Si NPs potentiated the cytotoxicity of Cd in HepG2 cells. We further noticed that coexposure of Si NPs and Cd augmented oxidative stress evidenced by the generation of oxidants (reactive oxygen species, hydrogen peroxide, and lipid peroxidation) and depletion of antioxidants (glutathione level and antioxidant enzyme activity). Coexposure of Si NPs and Cd also augmented mitochondria-mediated apoptosis in HepG2 cells indicated by altered regulation of apoptotic genes (p53, bax, bcl-2, caspase-3, and caspase-9) along with reduced mitochondrial membrane potential. Interaction data indicated that Si NPs facilitate the cellular uptake of Cd due to its strong adsorption on the surface of Si NPs. Hence, Si NPs increased the bioaccumulation and toxicity of Cd in HepG2 cells. This study warrants further research to explore the potential mechanisms of combined toxicity of Si NPs and Cd in animal models.