The two-dimensional hydrodynamic model, MIKE21, is applied to simulate the tidal currents and sediment concentration in the radial sand ridges of the South Yellow Sea. Results are in accordance with in situ observations. Then the variations of tidal currents and suspended sediment concentration caused by reclamation and artificial islands projects are simulated. The results show that the impacts are limited around the project areas. After the projects, the fan-shaped, Jianggang centered tidal current pattern would be replaced by a pattern which is formed by two tidal paths. One locates at the Xiyang channel in north-south direction, and the other locates at the Huangshayang channel in east-west direction. The reclamation of Tiaozini separates the waters into south portion and north portion. The changes of sediment concentrations coincide with those of currents. Both the sediment concentrations and tidal currents increase at the northwest of Dongsha and the south of Gaoni, while both decrease at the north and south of Tiaozini, and the east and southwest of Dongsha.