A regional synthesis of organic carbon (OC) burial was conducted using a comprehensive data set to reveal some of the key drivers and human multi‐stressors controlling OC burial and transport in the Eastern China Marginal Seas (ECMS). Both OC and Δ¹⁴C values of suspended particulate matter (SPM) in the Changjiang River, were significantly higher than estuarine mobile‐muds, suggesting selective decay of more labile younger OC from both marine and terrestrial sources and the accumulation of more recalcitrant older OC. Some of this decay is likely to be associated with iron‐redox cycling in mobile‐muds. In contrast, OC, δ¹³C, and Δ¹⁴C values increased along the Yellow River sediment dispersal pathway, indicating adding of young marine OC and less decay of terrestrial OC. OC burial efficiency in mud areas in the Bohai Sea (∼43%) was significantly higher than those in the Yellow (∼11%) and East China Seas (∼16%), owing to rapid deposition. Burial flux of biospheric OC in mud areas of the ECMS is 7.00 ± 0.79 Mt yr⁻¹, corresponding to atmospheric CO₂ drawdown by silicate weathering in major river drainage basins of mainland China. The burial flux of petrogenic OC was estimated to be 0.81 ± 0.25 Mt yr⁻¹, accounting for >1.9% of total burial in the global ocean. While the ECMS is an important OC sink, river damming has greatly reduced OC burial. Thus, the overall impact on anthropogenically altered river‐dominated marginal seas remains an important and rapidly changing component of the coastal ocean carbon budget.