Tidal wetlands provide myriad ecosystem services across local to global scales. With their uncertain vulnerability or resilience to rising sea levels, there is a need for mapping flooding drivers and vulnerability proxies for these ecosystems at a national scale. However, tidal wetlands in the conterminous USA are diverse with differing elevation gradients, and tidal amplitudes, making broad geographic comparisons difficult. To address this, a national-scale map of relative tidal elevation (Z*_MHW), a physical metric that normalizes elevation to tidal amplitude at mean high water (MHW), was constructed for the first time at 30 × 30-m resolution spanning the conterminous USA. Contrary to two study hypotheses, watershed-level median Z*_MHW and its variability generally increased from north to south as a function of tidal amplitude and relative sea-level rise. These trends were also observed in a reanalysis of ground elevation data from the Pacific Coast by Janousek et al. (Estuaries and Coasts 42 (1): 85–98, 2019). Supporting a third hypothesis, propagated uncertainty in Z*_MHW increased from north to south as light detection and ranging (LiDAR) errors had an outsized effect under narrowing tidal amplitudes. The drivers of Z*_MHW and its variability are difficult to determine because several potential causal variables are correlated with latitude, but future studies could investigate highest astronomical tide and diurnal high tide inequality as drivers of median Z*_MHW and Z*_MHW variability, respectively. Watersheds of the Gulf Coast often had propagated Z*_MHW uncertainty greater than the tidal amplitude itself emphasizing the diminished practicality of applying Z*_MHW as a flooding proxy to microtidal wetlands. Future studies could focus on validating and improving these physical map products and using them for synoptic modeling of tidal wetland carbon dynamics and sea-level rise vulnerability analyses.