Increased sea level is the climate change effect expected to have the greatest impact on mangrove forest survival. Mangroves have survived extreme fluctuations in sea level in the past through sedimentation and belowground carbon (C) accumulation, yet it is unclear what factors may influence these two parameters. We measured sedimentation, vertical accretion, and belowground C accumulation rates in mangrove forests from the Republic of Palau and Vietnam to examine how diversity (high-Vietnam vs. low-Palau), land use, and location (fringe vs. interior) might influence these parameters. Land use in this study was identified as disturbance and restoration for all mangrove forests sampled in Palau and Vietnam, respectively. Vertical accretion rates were significantly greater in Vietnam (2.44 ± 1.38 cm/year) than Palau mangrove forests (0.47 ± 0.08 cm/year; p < 0.001, F1,17 = 24.96). Vertical accretion rates were positively correlated to diversity (R = 0.43, p < 0.05). However, stronger correlations of accretion to bulk density (R = 0.64, p < 0.01) and significantly higher bulk densities in Vietnamese (0.67 ± 0.04 g/cm3) than Palau mangroves (0.30 ± 0.03 g/cm3; p < 0.001, F1,17 = 54.4) suggests that suspended sediments played a greater role in mangrove forest floor maintenance relative to sea level rise. Average vertical accretion rates were similar between naturally colonized (1.01 ± 0.10 cm/year) and outplanted sites (1.06 ± 0.05 cm/year) and between fringe (1.06 ± 0.12 cm/year) and interior mangrove (0.99 ± 0.09 cm/year) in Vietnam. In Palau, vertical accretion rates did not differ between disturbed (0.42 ± 0.11 cm/year) and undisturbed (0.51 ± 0.13 cm/year) mangrove forests and were higher in fringe (0.61 ± 0.15 cm/year) than interior sites (0.33 ± 0.09 cm/year; p = 0.1, F1,7 = 3.45). Belowground C accumulation rates did not differ between any factors examined. C accumulation rates (69-602 gC/m2/year) were similar to those reported elsewhere in the literature and suggest that intact coastal ecosystems play an important role in the global C cycle, sequestering C at rates that are 10-20× greater than upland forests. Assuming vertical accretion rates measured using 210Pb are an effective proxy for surface elevation, the Vietnamese and Palauan mangroves appear to be keeping up with current rates of sea level rise.