Understanding of morphodynamic processes associated with large-scale floods has recently improved following significant advances of modern technologies. Nevertheless, a clear link between flood discharge and in-channel sedimentation processes remains to be resolved. The hydrological and geomorphological data available for the meandering Powder River (Montana, USA) since 1977 makes it a perfect laboratory to investigate connections between flood discharge and point-bar sedimentation processes. This study focuses on a point-bar that accreted laterally ca 70 m during a 50-year recurrence flood, which lasted about 14 days in May 1978. In September 2018, a trench ca 2 m deep and 70 m long was excavated through the axial point-bar deposits, and the 1978 flood deposits were delineated based on georeferenced pre-flood and post-flood cross-section surveys. Sedimentological data show that point-bar deposits accumulated at the early and late flood stages, when the flow was confined to the channel, and have similarities with classical facies models in terms of palaeocurrent patterns and vertical grain-size trend. However, during high-stage flood conditions, when the flow overtopped the bar, cross-cutting of the bar and armouring were typical processes. Integration of sedimentological and palaeo-hydrological data highlight that the relation between channel cross-sectional area and flood discharge play a key role in preserving bar deposits. The integrated approach adopted here provides a basis for advancing palaeoflood hydrology beyond the stage of estimating peak discharges to the next stage of estimating palaeoflood hydrographs.