Slack-water deposits are archives of paleoflood frequency, magnitude, and provenance. In the eastern Himalaya, deposits along the Siang River document Quaternary outburst megafloods originating from southeastern Tibet. Here we present new observations of slack-water deposits within aggradational terraces of the Siyom River, the Siang’s largest tributary. Terrace stratigraphy reveals distinct, regionally extensive sedimentary facies including laminated sands, clays, and detrital organic-rich deposits consistent with slack-water deposition from temporarily impounded waters. Radiocarbon dates from clay and organic horizons range from 34,020 to 10,630 cal yr BP, overlapping with age constraints for Tibetan paleolake deposits. Detrital zircon (U-Th)/Pb geochronology confirms a local source for the underlying fluvial facies, whereas event-deposit silts contain young zircons derived from Tibet, supporting their interpretation as megaflood deposits. This evidence, combined with the deposits’ temporal overlap with Tibetan paleolakes and distinctive slack-water sedimentology, demonstrates that event facies formed through megaflood backflooding sourced from southeastern Tibet. The results point to the likelihood of similar deposits in other tributaries, providing a framework for regional investigation. Our findings further show that megafloods in steep terrain can produce substantial deposition and terrace formation tens of kilometers upstream in tributaries—far beyond the main stem floodway—revealing an overlooked geomorphic imprint of extreme floods.