Much of the United States Atlantic coastline continues to undergo subsidence due to post glacial settlement and ground water depletion. Combined with eustatic sea level rise (SLR), this contributes to an increased rate of relative SLR. In this work, we utilize the ADvanced CIRCulation model to project storm surges across coastal North Carolina. Recent hurricanes Irene and Matthew are simulated considering SLR and subsidence estimates for 2100. Relative to present day conditions, storm surge susceptible regions increase by 27% (Irene) to 40% (Matthew) due to subsidence. Combined with SLR (+ 74 cm), results suggest more than a doubling of areal flood extent for Irene and more than a three-fold increase for Hurricane Matthew. Considering current regional population distributions, this translates to an increase in at-risk populations of 18% to 61% due to subsidence. Even further, exposed populations are projected to swell relative to Matthew and Irene baseline simulations (8200 and 28,500) by more than 70,000 in all SLR scenarios (79,400 to 133,600). While increases in surge inundation are driven primarily by SLR in the region, there remains a substantial contribution due to vertical land movement. This outlines the importance of exploring spatially variable land movement in surge prediction, independent of SLR.