The long-term carbon (C) and vegetation dynamics of tropical, high-Andean cushion peatlands are poorly understood. Here, we present radiocarbon-dated paleoecological records and modern microclimate data from high-elevation peatlands currently dominated by the cushion plant Distichia muscoides in the páramo (alpine tundra) of the eastern Colombian Andes. Focusing on a well-dated 4300-year-old peat core collected at 4194 m elevation from the Sierra Nevada del Cocuy, we investigated the response of peatland vegetation to hydroclimate changes and environmental controls on C accumulation. In addition, we carried out a regional synthesis of existing C accumulation data from northern Andean peatlands to place our new results in broad geographic and temporal context over the last 17,000 years. Our results show that the current Distichia-dominated peatlands are a recent landscape feature on El Cocuy occurring only during the last ∼250 years. The Distichia peatlands have extremely high sediment accumulation rates of up to 1 cm yr−1 and C accumulation rates between 183.7 and 849.5 g C m−2 yr−1, decreasing with the elevation of a site. These rates far exceed an expected modern C accumulation rate of 110 g C m−2 yr−1, calculated by extrapolating an exponential function from a late Holocene average C accumulation rate of 48.6 g C m−2 yr−1 for the northern Andes. This suggests that recent Distichia establishment represents an acceleration of C accumulation at a rate higher than expected from decomposition-related autogenic effects. Before the modern climate warming period, our record indicates that Distichia cushions have only grown intermittently, often after the peatland was flooded with mineral sediments. Mineral sediment deposits at 3290, 2590, 1620, 930, and 860 cal. yr BP correspond with wet intervals from lake-derived records of hydroclimate change in the northern Andes and indicate increases in precipitation and subsequent in-wash of mineral sediments. However, within the last 150 years, mineral sediment deposition has increased in frequency, likely due to warming-induced melting of permanent snow and ice mobilizing exposed fluvio-glacial sediments. Increased mineral nutrients, rising temperatures, and strong diurnal temperature contrast in the tropical mountains may explain the rapid C accumulation rates. Taken together, we show that Andean peatlands have experienced the largest shift in vegetation and C accumulation rates in the last 250 years than at any other time during the last 4000 years.