The deep-water sedimentary processes and morphological features offshore Madeira Island, located in the Central-NE Atlantic have been scantly studied. The analysis of new multibeam bathymetry, echo-sounder profiles and few multichannel seismic reflection profiles allowed us to identify the main geomorphologies, geomorphic processes and their interplay. Several types of features were identified below 3800 m water depth, shaped mainly by i) the interplay between northward-flowing Antarctic Bottom Water (AABW) and turbidity currents and ii) interaction of the AABW with oceanic reliefs and the Madeira lower slope. Subordinate and localized geomorphic processes consist of tectono-magmatic, slope instability, turbidity currents and fluid migration. The distribution of the morphological features defines three regional geomorphological sectors. Sector 1 represents a deep-seafloor with its abyssal hills, basement highs and seamounts inherited from Early Cretaceous seafloor spreading. Sector 2 is exclusively shaped by turbidity current flows that formed channels and associated levees. Sector 3 presents a more complex morphology dominated by widespread depositional and erosional features formed by AABW circulation, and localized mixed contourite system developed by the interplay between the AABW circulation and WNW-ESE-flowing turbidite currents. The interaction of the AABW with abyssal hills, seamounts and basement ridges leads to the formation of several types of contourites: patch drifts, double-crest mounded bodies, and elongated, mounded and separated drifts. The patch drifts formed downstream of abyssal hills defining an previously unknown field of relatively small contourites. We suggest they may be a result of localized vortexes that formed when the AABW's flow impinges these oceanic reliefs producingthe erosional scours that bound these features. The bottom currents in the area are known to be too weak (1–2 cm s−1) to produce the patch drifts and scours. Therefore, we suggest that these features could be relics at present, having developed when the AABW was stronger than today, as during glacial/end of glacial stages.