Engaging in both sexual and affectionate behaviors with a romantic partner is often beneficial for adults' sexual and relationship satisfaction and promotes relationship stability. However, prior research has primarily examined either adults' sexual or affectionate behaviors, and has yet to explore patterns of sexual and affectionate behaviors and their associations with sexual and relationship satisfaction. In the current paper, we used a person-centered approach and latent profile analysis to identify specific profiles of adults' physical behaviors in same-gender and mixed-gender relationships, and examined associations of these profiles with sexual and relationship satisfaction. Adults (N = 336, 85.4% LGBTQ+; 45% women, 30% men, 38.6% gender-diverse; Mage = 29.07 years) who were currently in a committed romantic partner relationship for at least six months completed online surveys. We found that a 3-profile solution best fit the data and identified the following profiles: Infrequent Physical Behaviors, Affection-focused Behaviors, and Comprehensive Physical Behaviors. Adults in the Infrequent Physical Behaviors profile were less sexually and relationally satisfied than adults in the other profiles. Adults in the Comprehensive Physical Behaviors profile were more sexually satisfied than the two other profiles. Further, profiles did not differ for mixed-gender compared to same-gender or gender-diverse couples. Our findings have implications for understanding the diversity in adults' physical behavior patterns, including how clinicians might better support adults' sexual and relationship satisfaction.