The study of the geomorphological and sedimentary systems forming at mouth of large rivers flowing into the inland seas and lakes of the arid zone shows that they have passed a long evolutionary path of development, repeatedly accumulating and reworking alluvial deposits depending on the position of the receiving reservoir level. Following the level fluctuations, the rivers moved their deltas, Pleistocene relics of which are found in the range of absolute marks from +50 to –20 m on the shores of the Caspian Sea, from +50 to 110 m of the Aral Sea and from +370 to 400 m of Lake Balkhash. The Aral-Caspian arid zone is distinguished by following natural factors affecting the processes of delta formation: aridity of the climate, formation of river flow in the upper reaches and lack of inflow in the lower reaches, increased water turbidity and a huge runoff of suspended sediments, as well as significant influence of human economic activity associated with intensive irrigation. The most common morphogenetic type of river deltas on the coasts of intracontinental reservoirs of the arid zone are huge alluvial outflow cones in the form of extension deltas and “dry internal deltas” in the form of alluvial outflow cones. The delta arms and the lower reaches of the rivers of the arid zone are characterized by a high intensity of channel deformations due to weak resistance to erosion of fine-grained valley alluvial-proluvial deposits, high flow velocities and high saturation of the flow with suspended sediments. The oversaturation of the river flow with sediments usually leads to shallowing of the riverbed in high water and its gradual increase over the surrounding terrain. An increase in the bottom elevation and fast delta progradation provoke frequent breakthroughs of the riverbed shafts, a change in the direction of the flow of delta arms, the creation of new branching nodes and the formation of regional jointed deltas of the breakthrough type (delta blades) on the periphery of the old delta (subdelta according to American terminology). Partially superimposed or superimposed deltas can also form inside delta systems after the breakthroughs of channel shafts (or enclosing dams). The poor preservation of ancient deltas is noted due to intensive economic development and high dynamics of the coast and the hydrographic network of river deltas in conditions of huge runoff of suspended sediments and significant variability of the level of the receiving reservoir.