Four chronologies of the bivalve species Glycymeris pilosa have been constructed along a 300 km gradient of the eastern coastal Adriatic Sea, all of which span the common period of 1982-2015. The chronologies are compared to local and remote environmental drivers suspected to influence the biology of the system, including air and seawater temperature, precipitation and freshwater discharge. The Adriatic-Ionian Bimodal Oscillating System (BiOS), a key oceanographic feature quantified by satellite-derived absolute dynamic topography, is also compared to the chronologies. The chronologies at the two southern sites are more strongly influenced by local river discharge, while the two northern chronologies are more strongly influenced by BiOS. These results highlight the broadscale importance of BiOS to the Adriatic system as well as the heterogeneity of nearshore environmental and drivers of growth. These G. pilosa chronologies provide unique multidecadal, continuous, biological time series to better understand the ecology and fine-scale variability of the Adriatic with potential for other shallow, semi-enclosed seas.