Heightened recognition of impacts to coastal salt marshes from sea-level rise has led to expanding interest in using thin-layer sediment placement (TLP) as an adaptation tool to enhance future marsh resilience. Building on successes and lessons learned from the Gulf and southeast U.S. coasts, projects are now underway in other regions, including New England where the effects of TLP on marsh ecosystems and processes are less clear. In this study, we report on early responses of a drowning, microtidal Rhode Island marsh (Ninigret Marsh, Charlestown, RI) to the application of a thick (10–48 cm) application of sandy dredged material and complimentary extensive adaptive management to quickly build elevation capital and enhance declining high marsh plant species. Physical changes occurred quickly. Elevation capital, rates of marsh elevation gain, and soil drainage all increased, while surface inundation, die-off areas, and surface ponding were greatly reduced. Much of the marsh revegetated within a few years, exhibiting aspects of classic successional processes leading to new expansive areas of high marsh species, although low marsh Spartina alterniflora recovered more slowly. Faunal communities, including nekton and birds, were largely unaffected by sediment placement. Overall, sediment placement provided Ninigret Marsh with an estimated 67–320 years of ambient elevation gain, increasing its resilience and likely long-term persistence. Project stakeholders intentionally aimed for the upper end of high marsh plant elevation growth ranges to build elevation capital and minimize maintenance costs, which also resulted in new migration corridors, providing pathways for future marsh expansion.