Hydrodynamic models are valuable tools for understanding the primary factors influencing daily and peak water levels and for guiding discussions on potential adaptation strategies for managing flood risk in coastal areas. This analysis uses the Delft3D San Francisco Bay-Delta Community Model to simulate water levels and incorporates the effects of a number of adaptation measures in the urban San Francisco Bay estuary, California. In particular, we examine the influence of shoreline hardening, nature-based solutions, and subregional floodgates on regional water levels. The result shows that under present conditions, tidal amplification is responsible for generating a wide distribution of extreme water levels across San Francisco Bay. Tidal amplification is found to decrease under sea level rise, thereby producing a relative damping effect on extremes. A comparison of different shoreline scenarios demonstrates that hard frontal shorelines result in higher tidal amplification, whereas restored (soft) shorelines lower amplification. The current shoreline configuration has both hard and soft characteristics and results in an intermediate tidal response. In some areas, wetland restoration reduces extreme water levels by as much as 20 cm, whereas hard-shoreline addition elevates them by as much as 10 cm for 1.5 m of sea level rise. Furthermore, local floodgates can significantly reduce high water levels without major adverse effects elsewhere in San Francisco Bay. These findings point toward the justification for a range of adaptive measures across political boundaries, weighing hard and soft options in addressing the mounting danger of sea level rise.