AbstractWe coupled rainfall–runoff and instream water quality models to evaluate total suspended solids (TSS) in Wissahickon Creek, a mid‐sized urban stream near Philadelphia, Pennsylvania. Using stormwater runoff and instream field data, we calibrated the model at a subdaily scale and focused on storm responses. We demonstrate that treating event mean concentrations as a calibration parameter rather than a fixed input can substantially improve model performance. Urban stormwater TSS concentrations vary widely in time and space and are difficult to represent simply. Suspended and deposited sediment pose independent stressors to stream biota and model results suggest that both currently impair stream health in Wissahickon Creek. Retrofitting existing detention basins to prioritize infiltration reduced instream TSS loads by 20%, suggesting that infiltration mitigates sediment more effectively than detention. Infiltrating stormwater from 30% of the watershed reduced instream TSS loads by 47% and cut the frequency of TSS exceeding 100 mg/L by half. Settled loads and the frequency of high TSS values were reduced by a smaller fraction than suspended loads and duration at high TSS values. A widely distributed network of infiltration‐focused projects is an effective stormwater management strategy to mitigate sediment stress. Coupling rainfall–runoff and water quality models is an important way to integrate watershed‐wide impacts and evaluate how management directly affects urban stream health.