Changes in river pattern have been documented in the literature. The recognition of islands and vegetated patches, which is indicative of the evolution processes, requires simultaneous information at different points and at different times and field studies are still difficult and scarce. The present work, focusing the attention on a gravel-bed river, explores the possibility to conduct a first-step pattern changes analysis by identifying the evolution of the morphological features and taking information of islands and vegetated patches from satellite images easily available from Google Earth. The study is conducted by combining the information taken from both the satellite images and the field photos and the hydrological data. Here analysis concerns a reach of the Tagliamento River, in Italy, in a decadal timescale characterized by evident stream pattern changes. Results confirm that a combination of different factors determine favorable conditions for the river’s evolution, but the frequency of occurrence of high-magnitude events is the most important factor to consider in a first-step analysis. This is because the frequency of occurrence of high-magnitude events affects, in turn, some of the other influencing factors. In particular, the present study highlights that different morphological features form in time periods characterized by different frequency of occurrence of high-magnitude events. On one hand, this could be related to the fact that high-magnitude events could influence the sediment transport and deposition mechanisms, modifying the ratio coarse-to-fine sediments and the grain-to-grain interactions, with consequences in the sediment flux variation and in the migration of the morphological features. On the other hand, the frequency of occurrence of high-magnitude events could affect the vegetation distribution and growth, contributing to determine a variation of the typology of the vegetation characteristics depending on the tolerances of the vegetation species. A sort of interface between the vegetated-dominated area, where the flow resistance is significant, and the flood-disturbance-dominated area, where the action by flow is significant, is determined with a progressive reduction of the number of active channels and development of the meandering bend.