Developing an understanding of Palaeolithic settlement usually begins with the identification of spatial distribution patterns across a particular landscape. This not only allows one to appreciate the extent of occupation, but also helps to determine techno-cultural variations in space. However, it is easy for factors like raw material availability and post depositional processes amongst others, to confound the picture making inferences singling out behaviour difficult. An understanding of the geological context in which these Palaeolithic artefacts are found is thus crucial. District Damoh in central Madhya Pradesh provides a good opportunity to study various geo-archaeological contexts that have formed/prevailed through the Quaternary. This study area is flanked by two river valleys that hold an important place in South Asian Prehistory and Palaeoanthropology, the Son and Narmada. Damoh also lies over Vindhyan and Deccan Traps lithologies and is traversed by the vast drainage network of the Sonar and its tributaries. The relatively stable cratonic mass on which this area sits further aids in preserving such contexts that straddle floodplains, pediments, hillslopes, etc. During this study several new Palaeolithic sites and occurrences are reported in Damoh and neighbouring districts. Here, these new discoveries are discussed against the backdrop of previous research undertaken in the region that was mainly concentrated around the large river channels. This work sheds light on artefact concentrations in parts of the district possibly overlooked by earlier prehistorians while providing a more holistic view in the distribution patterns of Palaeolithic sites in the Sonar Basin and beyond.