Water levels in deltas and estuaries vary on multiple timescales due to coastal, hydrologic, meteorologic, geologic, and anthropogenic factors. These diverse factors increase the uncertainty of, and may bias, relative sea level rise (RSLR) estimates. Here, we evaluate RSLR in San Francisco Bay and the Sacramento-San Joaquin Delta, USA by applying a physics-based, nonlinear regression to 50 tide gauges that determines the spatially varying controls on daily mean water level for water years 2004–2022. Results show that elevated river flow and pumping (99th percentile) raise water level up to 6 m and lower it up to 0.35 m, respectively, and coastal water level variations are attenuated by 30-60% within the Delta. … Thus, RSLR in the Delta is strongly influenced by local vertical land motion and will likely produce significantly different, location-dependent future flood risk trajectories.