A detailed study of past eruptive activity is crucial to understanding volcanic systems and associated hazards. We present a meticulous stratigraphic analysis, a comprehensive chronological reconstruction, thorough tephra mapping, and a detailed analysis of the interplay between primary and secondary volcanic processes of the post-900 AD activity of La Fossa caldera, including the two main systems of La Fossa volcano and Vulcanello cones (Vulcano Island, Italy). Our analyses demonstrate how the recent volcanic activity of La Fossa caldera is primarily characterized by effusive and Strombolian activity and Vulcanian eruptions, combined with sporadic sub-Plinian events and both impulsive and long-lasting phreatic explosions, all of which have the capacity to severely impact the entire northern sector of Vulcano island. We document a total of 30 eruptions, 25 from the La Fossa volcano and 5 from Vulcanello cones, consisting of ash to lapilli deposits and fields of ballistic bombs and blocks. Volcanic activity alternated with significant erosional phases and volcaniclastic re-sedimentation. Large-scale secondary erosion processes occur in response to the widespread deposition of fine-grained ash blankets, both onto the active cone of La Fossa and the watersheds conveying their waters into the La Fossa caldera. The continuous increase in ground height above sea level, particularly in the western sector of the caldera depression where key infrastructure is situated, is primarily attributed to long-term alluvial processes. We demonstrate how a specific methodological approach is key to the characterization and hazard assessment of low-to-high intensity volcanic activity, where tephra is emitted over long time periods and is intercalated with phases of erosion and re-sedimentation.