Abstract Paraglacial coastal systems are formed on or proximal to formerly ice-covered terrain from sediments with direct or indirect glacial origin. This review addresses the roles of tectonic controls, glacial advances and retreats, sea-level changes, and coastal processes in sediment production, delivery and redistribution along the paraglacial Gulf of Maine coast (USA and Canada). Coastal accumulation forms are compositionally heterogeneous and found primarily at the seaward edge of the Gulf's largest estuaries; their existence is directly attributable to the availability of glacial sediments derived from erosion of weathered plutons within coastal river basins. Multiple post-glacial sea-level fluctuations drove the redistribution of these sediments across the modern lowland and inner shelf. Central to the formation of barrier systems was the paraglacial sand maximum, a time-transgressive phase of relative sea-level fall and enhanced fluvial sand export c. 2000–4000 years following deglaciation. Vast quantities of sand and gravel were reworked landward during the subsequent transgression and combined with additional riverine sediments to form the modern barrier systems. Today, reduced fluvial sediment loads, anthropogenic modifications of barrier and river systems, and sea-level rise have combined to exacerbate long-term coastal erosion and may eventually force these barriers toward a state of rapid landward migration.