This paper provides a detailed study on the sedimentation patterns and the recent morphodynamic evolution affecting the macro-tidal salt marshes located west of the Mont-Saint-Michel (France). Twenty-two stations along three transects on the marshes were seasonally monitored for marsh surface level variations from 1999 to 2005, using a sediment erosion bar. The corresponding erosion/accretion rates were obtained together with data on topography, vegetation cover, and grain size of surface sediment. To examine the mechanisms contributing to the salt marsh sedimentation, the data and their evolution were treated with respect to tides, relative mean regional sea level, and wind speed/frequency variations. From 1999 to 2005, the marsh was globally accreting (from 3.45 to 38.11 mm yr −1 in the low marsh, up to 4.91 mm yr −1 in the middle marsh, and up to 1.35 mm yr −1 in the high marsh), while the study was conducted during a window of decreasing trend in mean regional sea level (−2.45 mm yr −1 according to regional-averaged time series). These sedimentation rates are one of the highest recorded worldwide; however, the sedimentation was not found to be continuous over the period in question. This pattern is illustrated by the strong extension of the marshes from 1999 to 2002, and the relative stability observed from 2003 to 2005. The imported and reworked sediments are trapped and fixed by the dense vegetation ( Puccinellia maritima, Halimione portulacoides), inducing the general seaward extension of the marshes. The processes governing sediment budget (accretion/erosion) show annual, seasonal, and spatial variability on the marsh. Spatial variations display contrasted patterns of erosion/sedimentation between the low, middle, and high marsh, and between the different transects. These patterns are a result of distance from sediment sources, strong heterogeneity in vegetation cover (human induced or not), and contrasting topographic and micro-topographic characteristics. The higher accretion rates are observed in distal settings in the low marsh, and strongly decrease toward the middle and high marsh. This evolution results from a decrease in accommodation space/water column thickness, and frequency of inundation coupled with an increase in station elevation, but also from the cumulated effects of vegetation cover and micro-topography. The vegetation cover of the low and middle marsh enhance the settling and fixing of fine sediments imported through tides or dispersed by flood and ebb currents. The seasonal evolution of the marshes is marked by contrasting effects of water storage in the sediment. The overall seasonal sediment budget is controlled by the variation of the frequency of inundation relative to tidal range and marshes topography. Autumns are influenced by the tide (equinoxes), relative mean regional sea level, and variations in wind speed/frequency. Winter wind speed and frequency in relation with tidal variations appear to be the main parameters regulating winter marsh evolution. Summers are predominantly under the influence of local variations in water storage (desiccation) while external parameters generally display a low influence. Although it is not governed by any one parameter, springtime sediment budget seems to result from strong interaction between the above-cited parameters, despite the significant frequency of inundation (equinoxes).