As the product of a variety of sediment sources and sedimentation (and re-sedimentation) and erosion processes, the geomorphology and sedimentology of carbonate slopes are highly variable. The purpose of this study is to describe sub-bottom profiles and side-scan sonar, multibeam and optical data acquired by an autonomous underwater vehicle to explore variability in geomorphological and sedimentological character of the present-day platform-marginal, uppermost slope environments (< 240 m water depth) on the north, open-ocean facing flank of Little Bahama Bank, Bahamas. Although at time scales of greater than 100 ka this margin is progradational, the data illustrate a complex juxtaposition of erosional and depositional processes and features. Erosion is evidenced by two prominent escarpments (70 m and 120 m) that expose eroded, bedded rocky outcrops. These escarpments are interpreted to represent relict features, related to past sea-level positions, although they still may be shedding debris. Aside from erosional remnants, sedimentation and active transport is indicated by several features, including active bedforms (especially above the 70 m escarpment, but ripples occur to depths of ca 200 m), several mass transport complexes that overlie and cover the lower escarpment, gravity flow deposits and rare slump features. Similarly, a thick (up to 20 m) onlapping sediment wedge, interpreted to be Holocene in age, suggests lateral accretion of the slope by more than 75 m in this period. Data illustrate that this open-ocean margin is distinct from windward margins in the Bahamas, which typically include near-vertical walls of erosion or bypass, flanked downdip by rubble and talus, and leeward margins, which have onlapping muddy wedges, but that lack marked terraces or escarpments. Collectively, the results provide perspectives into the nature and controls on complex geomorphological patterns of erosion and deposition in Holocene uppermost slope systems, concepts potentially applicable to ancient analogues.