Freshwater ecosystems are increasingly impacted by anthropogenic elevated levels of suspended sediment that may negatively affect aquatic organisms, including salamanders. While increasing fine sediment in streams has been suggested as a reason for population declines, to date no study has empirically assessed the effect of suspended sediment on gilled larval Eastern Hellbenders (Cryptobranchus alleganiensis Daudin, 1803), a critical life history stage and species of conservation concern. We used custom respirometers to elucidate effects of suspended sediments on larval Hellbender oxygen uptake in trials conducted in situ in Georgia streams. Mean oxygen uptake increased and was significantly higher in trials when larval salamanders were exposed to suspended sediment (mean = 5.06 O2 mg/L, 800 mg/L sediment treatment vs 2.25 O2 mg/L, 0.00 mg/L sediment control). This may indicate elevated physiological stress in response to short term exposure to suspended sediments. Qualitatively, individuals in both groups exhibited rocking behavior in response to low oxygen (hypoxia), albeit at different frequencies (sediment exposure = 7.6 rocks per minute and control = 2.1 rocks per minute). Larval salamanders may be able to temporarily compensate for low oxygen through increased rocking behavior when high suspended sediment loads are present, with future respirometry research needed.