Continental-scale rivers with a sandy bed sequester a significant proportion of their sediment load in flood plains. The spatial extent and depths of such deposits have been described, and flood-plain accumulation has been determined at decadal timescales, but it has not been possible to identify discrete events or to resolve deposition on near-annual timescales. Here we analyse (210)Pb activity profiles from sediment cores taken in the pristine Beni and Mamore river basins, which together comprise 720,000 km2 of the Amazon basin, to investigate sediment accumulation patterns in the Andean-Amazonian foreland.