Hicks Dome hosts breccias enriched in rare earth elements (REE), Y, Th, F, Ba, Ti, Nb, and Be, alongside spatially associated lamprophyre dikes (ca. 271 Ma). Hicks Dome is located within the Illinois–Kentucky Fluorspar District, which hosts fluorite, Pb–Zn, and barite resources. This study investigates the genetic relationships between Hicks Dome mineralization in breccias, alkaline magmatism, and Illinois–Kentucky Fluorspar District mineralization. Lamprophyre dikes are light REE–enriched with chondrite-normalized abundances decreasing from La to Lu. The Host Breccia exhibits middle and heavy REE–enriched patterns that mirror those of the principal REE–Th host minerals, including fluorapatite, xenotime, and thorite. Textural evidence suggests recrystallization of phosphates, sulfates, and Ti–Nb oxides in the Host Breccia. U–Pb geochronology constrains multiple mineralizing events, with ages of 277 ± 18 Ma from low-Th apatite interpreted as main-stage mineralization, and 121.6 ± 9.7 Ma from high-Th apatite indicating later overprinting. O–H–C stable isotope data provide evidence for multiple stages of fluid-rock interaction and fluid mixing: (1) early magmatic fluids dissolved limestone country rock, (2) mixing between magmatic fluids and basinal brines led to main-stage mineralization in the Host Breccia, and (3) late-stage mineralization occurred following mixing of meteoric water and basinal brine. These results indicate that heavy REEs, high field strength elements, and fluorine precipitated proximal to its alkaline magmatic source because of fluid–rock interactions and fluid mixing. Subsequent fluid mixing drove late-stage recrystallization and additional fluorite formation, a process that may be similar to mineralization in the Illinois-Kentucky Fluorspar District.