Micromorphological analysis of sediments from the Middle Stone Age site of Sibudu Cave, KwaZulu-Natal, South Africa, provides a high-resolution sequence and evidence of site formation processes of predominantly anthropogenic deposits. This methodology allows for a detailed interpretation of individual anthropogenic activities, including the construction of hearths and bedding and the maintenance of occupational surfaces through the sweep out of hearths and the repeated burning of bedding. This analysis also provides a context for evaluating other studies at the site relating to magnetic susceptibility, paleobotany, paleozoology, anthracology, and studies of ochre.