In the context of sandy coastlines under increasing coastal development and squeeze, coupled with the ongoing loss of global diversity, it is crucial to understand the ecological patterns of benthic macrofauna, which plays a key role in the trophic and biogeochemical functional connectivity between land and sea. Here, we assessed differences in the spatiotemporal patterns of macrofauna diversity and production in exposed sandy beaches of the southwestern Gulf of Mexico across a use and modification gradient and its utility as indicators of impacts. We also estimated the sampling effort for a representative species inventory, considering three tidal zones, and longitudinal spatial scales in four beaches twice a year, and locally after an event of great tourist incidence. The traditional diversity indices could not conclusively detect the stress gradient of the macrofauna in these systems. The abundance pattern of macrofauna species in the upper intertidal zone and the greater secondary production at the lower zone of the unmodified beaches could be useful as indicators of ecological integrity in natural beaches with similar morphodynamic conditions. On the contrary, the most disturbed beach exhibited greater instability in terms of its macrofauna temporal variation in the lower zone. We verified that the ecological integrity approach comprising both natural and anthropogenic factors and multiple stressors is a useful tool showing precisely how beach-intensive use and modification induce instability and less resilience of its macrofauna, reflected in the species' distribution by tidal zones, and the secondary production patterns. We also provide the first estimate of the optimal sampling effort required to get a representative inventory of the benthic intertidal macrofauna in sandy beaches of the Western Gulf of Mexico within a gradient.