We measured denitrification, anaerobic ammonium oxidation (anammox), oxygen uptake, nutrient exchange, and pore-water profiles of oxygen in intact sediments at three sites in the southern North Sea, which we experimentally exposed to different oxygen saturations (ambient and , 33% of air-saturation for oxygen [i.e., our hypoxic treatment]) over 14 months. Denitrification ranged from 1 mmol N m 22 h 21 to 21 mmol N m 22 h 21 , anammox 0.2 mmol N m 22 h 21 to 5.7 mmol N m 22 h 21 , and oxygen uptake 47 mmol O 2 m 22 h 21 to 631 mmol O 2 m 22 h 21 . The seasonal patterns under ambient oxygen were correlated with those in the hypoxic treatment; though, on the whole, the magnitude of flux was different. On average, under hypoxia, both the penetration and consumption of oxygen decreased by , 50%, denitrification increased by 32%, and anammox remained constant. Anammox accounted for between 10% and 20% of the total N 2 production, which agrees with expectations for waters of these depths (30-80 m). Under ambient oxygen the sediments were strong sources of nitrate to the overlying water, 12 mmol NO { 3 m 22 h 21 on average, but under hypoxia total N mineralization decreased by 46% and nitrate exchanged ceased. Short-term hypoxia alters the balance between available N returned to the overlying water, primarily as NO { 3 , and that removed from the ecosystem as N 2 gas.