The aim of this study is the reconstitution of the recent morpho-sedimentary evolution of the Medjerda River delta. We examine the spatio-temporal evolution of the Medjerda shoreline between 1936 and 2016 using satellite images, complemented by sedimentological and geochemical analyses and ²¹⁰Pbex and ¹³⁷Cs radiometric data. The general tendency of the shoreline evolution shows an increasing progradation (300 ± 12 m) between 1936 and 2016. Yet the mesoscale Net Shoreline Movement position (NSM) and the End Point Rate (EPR) reveal an erosion pattern estimated to be −20 m ± 0.15 m/yr during the period 1988–1999.

The sedimentological analyses reveal four main lithostratigraphic units. The fine sand substratum layer (Md = 0.08 mm) decreases toward clay and silt facies (Md < 0.063 mm), rich in continental plant debris. The geochemical results reveal gradual incoming of the terrigenous component instead of marine deposits. The ¹³⁷Cs/²¹⁰Pbex radiometric dating confirms the functioning of the new river flow by the 1950s with the highest sedimentation rate being 3.3 cm/yr. Our results show that the Sidi-Salem dam impoundment (1981) led to a dramatic reduction of sediment discharge, a decrease of the grain size with nearly no more sand reaching the coast, and the shoreline retreat.