Submarine groundwater discharge (SGD) is a critical driver of nutrient transport in coral reef ecosystems, shaping water quality, primary productivity, and overall reef health. This study quantifies SGD fluxes and associated nutrient dynamics in two reef flat pools within the Ofu Unit of the National Park of American Samoa: Papaloloa and Fatuana. A multi-method approach integrating unoccupied aerial system-based thermal infrared (UAS-TIR) surveys, radon-based SGD measurements, multichannel electrical resistivity tomography (ERT), and discrete water sampling was used to assess SGD rates and nutrient contributions. UAS-TIR imagery revealed cooler sea surface temperatures in both pools, indicative of SGD, with the higher fluxes observed in Papaloloa. Radon measurements revealed a strong inverse correlation between SGD rates and tidal stage, with a more immediate SGD response at Papaloloa due to its highly permeable calcareous sand and gravel substrate. In contrast, a 2–3-hour lag in SGD response at Fatuana suggests discharge from a more inland aquifer that has lower diffusivity. Nutrient concentrations correlated with temperature and salinity, confirming SGD as the dominant nutrient transport mechanism, whereas isotopic analyses indicated inputs from both groundwater and potential anthropogenic sources. Despite lower SGD flux at Fatuana, higher algal cover suggests additional factors influencing algal proliferation, including substrate availability and hydrodynamic conditions. Excess nutrient inputs from SGD may contribute to algal overgrowth, which threatens Ofu’s thermally tolerant corals by increasing competition for space and light. These findings underscore the complexity of SGD-mediated nutrient dynamics in reef environments and emphasize the need for integrated hydrological and ecological assessments to support effective reef conservation and management strategies.