Artificial sand replenishments are globally used as innovative coastal protection measures. In these replenishments elevated porewater concentrations of trace elements are found. The present study investigated possible ecotoxicological risks at 2 intertidal depositional sites, the Sand Engine as a recent innovative Dutch coastal management project and a semiartificial tidal flat. Using the sediment quality triad approach, we considered 3 major lines of evidence: geochemical characterization, toxicity characterization using bioassays with the estuarine amphipod Corophium volutator, and ecological field survey. In both depositional areas C. volutator is at risk: moderate (Sand Engine) and low (tidal flat). For tidal flat, the bioavailability of trace elements differs between the field site and the laboratory. Contamination from arsenic and copper is present, but the low survival rate of C. volutator from the bioassay suggests the presence of additional contaminations. The highly morphological dynamic environment of Sand Engine creates a less favorable habitat for C. volutator, where local spots with stagnant water can temporarily create hypoxic conditions and sulfate becomes reduced. The dynamic system mobilizes especially arsenic, triggering adverse ecotoxic effects at low original sediment concentrations. To conclude, the sediment quality triad approach shows that a semiartificial tidal flat is preferred over a highly dynamic coastal management project like the Sand Engine. The Sand Engine concept does not provide suitable conditions for macrobenthos species like C. volutator; therefore, limiting the nature development goal set together with the coastal protection goal. Assessing each line of evidence from the approach together with additional measurements established more precise and realistic conclusions, showing that evaluating the contributions of this method is necessary to understand the causes of risk in a site-specific manner.