A decade (2007-2016) of hourly 6-km-resolution maps of the surface currents across the Mid-Atlantic Bight (MAB) generated by a regional-scale High Frequency Radar network are used to reveal new insights into the spatial patterns of the annual and seasonal mean surface flows. Across the 10-year time series, temporal means and interannual and intra-annual variability are used to quantify the variability of spatial surface current patterns. The 10-year annual mean surface flows are weaker and mostly cross-shelf near the coast, increasing in speed and rotating to more alongshore directions near the shelfbreak, and increasing in speed and rotating to flow off-shelf in the southern MAB. The annual mean surface current pattern is relatively stable year to year compared to the hourly variations within a year. The 10-year seasonal means exhibit similar current patterns, with winter and summer more cross-shore while spring and fall transitions are more alongshore. Fall and winter mean speeds are larger and correspond to when mean winds are stronger and cross-shore. Summer mean currents are weakest and correspond to a time when the mean wind opposes the alongshore flow. Again, intra-annual variability is much greater than interannual, with the fall season exhibiting the most interseasonal variability in the surface current patterns. The extreme fall seasons of 2009 and 2011 are related to extremes in the wind and river discharge events caused by different persistent synoptic meteorological conditions, resulting in more or less rapid fall transitions from stratified summer to well-mixed winter conditions. Plain Language Summary A coordinated High Frequency Radar network operated between Cape Cod, MA, and Cape Hatteras, NC, generates hourly maps of ocean surface currents. A decade-long study revealed the detailed structure of the surface flows. These flows were compared to wind and river flow data to explain the patterns observed in the flow. Near the coast, the average currents flow offshore. Away from the coast, the average currents flow along the coast toward the south. Fall is the season with the most variability from year to year. Its higher variability can be traced to different regional weather patterns that change the wind fields and the amount of freshwater delivered by the rivers to the coastal ocean. This is the first study to use a decade of observed surface current maps that uniquely and simultaneously observe the changing patterns of the average flow structure along a segment of eastern United States. The improved understanding of the coastal circulation over a wide area, and what drives its variability, has implications for pollutant transport, plankton transport at the base of the food chain, fish and shellfish reproduction, and multiple ocean-based human activities including fishing, marine transportation, and offshore wind energy development.