In 1605 a destructive earthquake affected the northern region of Hainan Island and adjacent parts of the Chinese mainland. Based on a detailed analysis of contemporary chronicles, the authors present a revision of the effects of the earthquake, and show that a sequence of strong shocks throughout 1605 caused cumulative damage and relatively heavy loss of life in Qiongshan. The subsidence of large areas of coast round Puqian Bay and Dongzhai Port is shown to be due to a combination of liquefaction caused by the shock, the occurrence of a typhoon associated with flooding and exacerbated by a high surge tide, as well as a long‐term process of active tectonic movement in the area; the subsidence was not caused by downthrow of the earth's crust during the shock. Topographical changes in the area, traced from historical maps, suggest that subsidence is continuing, but a survey of the long‐term seismicity of Hainan Island indicates that it is not an area of exceptional seismic r