Sediments represent a critical compartment of marine coastal ecosystems due to the toxic and long-lasting effects of the contaminants buried therein. Here, we investigated the properties of surficial sediments in front of the Southern Marche Region coast (Central Adriatic Sea, Italy). The grain size of the surficial sediments was determined by X-ray sedigraphy. TN and OC contents were determined by elemental analysis. The concentrations of Al, Fe, Mg, K, S, Ca, Ti, P, Na, Mn, Mg, Li, As, Ba, Ga, Pb, Sr, and Zn were determined by ICP-OES to evaluate their spatial patterns and temporal trends. A Q-mode Factor Analyses was applied and resulted in the identification of three compositional facies (Padanic, Coastal, and Residual) characterized by common biogeochemical, mineralogical, sedimentological properties, transport pathway, and source. Some pollution indicators, such as the enrichment factor, the geoaccumulation index, and the pollution load index were calculated to assess the deviation from the natural background levels. The results showed a pollution by As and Ba due to the human activities in the 20th century. Furthermore, a general decreasing of Al, Ti, P, Co, Cr, Cu, Ga, Ni, Pb, Sc, V, and Y concentrations from the background levels suggested a change in the sedimentation processes during the last decades.