Sediment budgets and morphological channel adjustments are closely related to changes in stream power. In ephemeral channels, whose geomorphic response depends on the magnitude and frequency of hydrological events isolated in time, such relationships are often difficult to establish. This study sought to quantitatively relate morphological adjustments to stream power along different reference channel reaches for the period 2018–2020 in the Azohía Rambla, a Mediterranean gravel-bed ephemeral stream in southeastern Spain. Very high resolution digital terrain models (VHR DTM) (at 1 to 2.5 cm pixel size), combined with ortophotographs and 3D point clouds, generated via SfM photogrammetry and terrestrial laser scanning (TLS) for pre- and post-event stages, together with ground-based surveys were used to estimate the spatial variability of morphological sediment budgets and to assess channel bed mobility and changes in net sediment flux during the study period in two spatial scenarios: reference channel reaches (RCRs) and pilot bed survey areas (PBSAs). The hydraulic variables (flow velocity, Froude number, shear stress, mean stream power and energy gradient, among other) were estimated using a 1D hydrodynamic model calibrated with field information. The high resolution maps allowed a spatially-explicit analysis of stream power and transport efficiency in accordance with the areas of erosion and deposition in each RCR. The incision and bed armoring processes showed different trends according to the stream power (ω), cumulative excess energy (εc), and relative bed stability (RBS). The greatest morphological adjustments at the event scale coincided with ω values above 300 W m−2, εc higher than 3 MJ, and RBS below 0.5. The relationships between the mean stream power gradient at peak flood discharges and the changes in bed elevation verified the bed aggradation (an average surface raising of 0.17 to 0.22 m for δω/δs of −6.2 to −14.5 W m−2 m−1) during the major flood and bed scour (average surface lowering of 0.16 to 0.19 m for δω/δs of 5.8 to 10.6 W m−2 m−1) in the moderated events at the bankfull and sub-bankfull stages. Furthermore, this study contributes new relevant data to the scarce existing literature on the relationships between stream power and morphosedimentary adjustments in a fluvial system highly sensitive and resilient to climate change, as is the case of ephemeral gravel-bed channels.