Cumulative impact mapping is a commonly applied spatial representation of the impacts of human activities on the ocean. This spatial model has been applied at varying scales around the world, in part due to its ability to visually communicate complicated information in a simple way. The application of the model to decision-making processes requires an understanding of the reliability and stability of its outputs. This paper represents both an updated regional application in Pacific Canada and an evaluation of the tool over two iterations, 2015 and 2023. The regional application utilised higher model resolution and new and improved data inputs including 38 habitats and 46 activities across five sectors. High impact hotspots were found around major population centres and ports, as well as in fishing and shipping areas along the continental shelf. Commercial fishing, shipping, and climate change (sea surface temperature change) remained the major drivers of cumulative impacts in the region, and cumulative impacts per unit area continued to be highest in kelp and seagrass. Results suggest evidence of decreased impacts where improved protection for sponge reefs were implemented but show an overall increase in cumulative impacts for the region. Results showed consistency and reliability in the location of cumulative impact hotspots. Refinements in data quality and resolution of spatial data inputs contributed towards increasing the spatial precision of hot spot areas identified. Confidence in the cumulative impact mapping outputs and applications for marine spatial planning, marine protected area designation and management, research, and decision support are discussed.