This study provides an in-depth evaluation of sea level rise (SLR) and its varied effects across the coastal regions of southern Africa. Utilizing data collected between 1993 and 2022, we analyze SLR patterns alongside land subsidence phenomena, based on observations from 10 strategically located tide gauges and X-TRACK satellite altimetry datasets. To ensure greater accuracy, the Coastal Altimetry Approach was adopted to refine nearshore measurements. Findings indicate that in areas such as Cape Town, sea-level rise rates reach around 6.3 mm/year, which is nearly twice the current global average of 3.3 mm/year. The interaction between rapid sea-level rise and subsidence rates surpassing 2.2 mm/year presents significant threats to coastal communities, critical infrastructure, and natural ecosystems. Moreover, the study highlights how seismic activity contributes to coastal dynamics, illustrating the role of earthquake-induced subsidence in magnifying the impacts of SLR. By incorporating seismic factors into the analysis, a more comprehensive understanding of the interplay between natural and human-induced drivers of sea-level variability is achieved. Additionally, the study examines the broader effects of SLR on Africa’s culturally and historically important coastal heritage sites, emphasizing the urgent need for proactive coastal management and climate adaptation efforts.