Abstract Estimates of coseismic vertical displacements from past and potential future subduction zone earthquakes provide critical constraints on regional seismic and tsunami hazard. Many studies use elastic homogeneous half‐space models to calculate vertical displacements from a specified earthquake slip distribution, neglecting complexities of 3D structure in subduction zone settings. Here, we use 3D ground motion simulations of potential Cascadia Subduction Zone earthquakes to investigate the impact of realistic 3D Earth structure on estimated vertical displacements. We show that offshore uplift increases when including 3D structure due to high fault slip in low‐rigidity accretionary wedge sediments and coastal subsidence decreases due to higher rigidity material at depth. These larger offshore uplifts cause increased tsunami maximum wave heights, and coastal subsidence at paleoseismic sites decreases on average by ∼17 cm, or ∼60%, which can have important implications for the amplitude and extent of slip in earthquake scenarios developed based on paleoseismic data constraints.

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