Tidal marsh restoration or creation on formerly embanked land is increasingly executed along estuaries and coasts in Europe and the USA, either by restoring complete or reduced tidal exchange. Ecosystem functioning and services are largely affected by the hydro-geomorphologic development of these areas. For natural marshes, the latter is known to be steered by feedbacks between tidal inundation and sediment accretion, allowing marshes to reach and maintain an equilibrium elevation relative to mean sea level, and steering ecological succession towards a climax state. However, for marsh restoration sites, these feedbacks may be disturbed depending on the restoration design. This was investigated by comparing the inundation-elevation change feedbacks in a natural versus restoration site with reduced tidal exchange in the Scheldt estuary (Belgium). This study analyses long term (15 years) datasets on elevation change and tidal inundation properties to disentangle the different mechanisms behind this elevation-inundation feedback. Moreover, subsequent changes in sediment properties that may affect this feedback were explored. We found in the restoration area with reduced tidal exchange a different elevation-inundation feedback than on natural marshes, i.e. a positive feedback on initially high sites (i.e. sediment accretion leads to increasing inundation, hence causing accelerating sediment accretion rates) and a gradual silting up of the whole area. Furthermore, there is evidence for the presence of a relict consolidated sediment layer. Consequently, shallow subsidence is less likely to occur. Although short term ecological development of the tidal marsh was not impeded, long term habitat development may be different by the disturbed hydro-geomorphological interactions. Potential consequences for ecosystem functioning and services are discussed. Ecosystem trajectories may be controlled or changed by adaptive management, and suggestions for improved management are made.