The Quaternary is characterized by pronounced alterations between cold and warm climatic states, with the Mid-Pleistocene Transition marking a strong increase in the intensity of cold-climate conditions. River systems are sensitive to environmental perturbation (e.g., climate, tectonics, base level) and are expected to respond to such profound changes. This study uses a combination of terrace mapping and analysis of a dense borehole database to investigate the Meuse terrace staircase (and its deposits), and gain insight on how it reflects climatic and tectonic perturbations during the Quaternary. The lower reaches of the Meuse river, which has both its main water and sediment source in the Ardennes displays a well-developed terrace staircase that was sculpted mainly throughout the Quaternary. The staircase is located near the cities of Maastricht (southern Netherlands) and Liège (northwestern Belgium). About 30 terrace levels reflect signals of environmental perturbations in the lithological composition, gradients, thicknesses, and spatial distribution. The terraces are organized in groups, based on their morphological position, from old to young; these are the East Meuse terrace group and West Meuse High-, Middle- and Low terrace groups. Our findings show a consistent increase in the gravel content from older to younger terraces. The sandier composition of the deposits of the oldest terraces (Early Pleistocene) is closely related to the supply of the Miocene-Pliocene weathered material from the Ardennes. Younger terraces (Middle and Late Pleistocene) are much richer in gravel, evidencing sediment input from fresh or partially weathered bedrock. These changes point to a downstream migration of the gravel front throughout the Quaternary. The mean thickness of the terrace groups shows a slight increase, even though the same trend is not clear when each terrace is analyzed on an individual basis. The anomalous thickness of the Caberg 1 terrace suggests increased sediment input during the cold climatic conditions of the Elsterian (MIS 12), the first Quaternary glacial during which an ice sheet extended into the northern Netherlands. Reconstruction of terrace gradients reveals that older East Meuse terraces show a (reversed) gradient opposite to reconstructed palaeo flow directions, which is attributed to a combination of low gradients during terrace formation and footwall back-tilting of the Feldbiss Fault Zone. In our analysis we do not see clear evidence for the imprint of the Mid-Pleistocene Transition, which suggests that due to its gradual nature, its signal is either buffered or assimilated by the overall climatic signal of the Quaternary. This study offers a first complete temporal analysis of the Meuse terrace staircase, providing an important basis for better understanding the effects of Quaternary climatic change and tectonics, and their resulting effects in other river systems worldwide.