Beach handball is a spectacular new team sport; however, scientific knowledge about the demands in beach handball is very low. Consequently, the aim of this study was to analyze the physical demands of elite beach handball players by means of time-motion analysis with GPS technology and physiological response with Heart Rate (HR). Both male (n = 12) and female (n = 12) players from the Spanish Beach Handball National Team were recruited for this study. The sample consisted in four matches of two 10-min periods each. Time-motion analysis was performed through GPS devices (SPI Pro X, 15 Hz, GPSports) with synchronized HR monitoring (Polar Electro, Finland). All parameters were recorded for matches and halves to express overall and time-dependent physical and physiological responses. Total match distance covered by male and female players were 1234.7 ± 192 m and 1118.2 ± 221.8 m, respectively. Female players covered more total distance (p = 0.049, ES = 0.79) and distance walking (p < 0.001, ES = 2.04) in the first half, whereas they covered more distance standing (p = 0.008, ES = 1.05) in the second half at a higher average speed (p < 0.001, ES = 2.28). The number of accelerations distributed over low-, moderate- and high-intensity categories were 43.2 ± 11.6, 9.4 ± 4.9; 0.8 ± 0.9 m/s² for male players, and 40.3 ± 12.7, 4.3 ± 3.0; 0.1 ± 0.3 m/s² for female players; equivalent to one body acceleration every 23 s and 27 s, respectively. Finally, male and female players obtained a maximum/mean HR of 173 ± 13 / 137 ± 12 bpm, and 177 ± 13 / 138 ± 18 bpm, with 20.3% and 29.2% of the total time in the anaerobic zone (81 – 90% HRmax), respectively. These results demonstrated that beach handball is a demanding sport, with numerous moderate-to-high intensity displacements, distributed intermittently throughout the game: long periods of low intensity activity interspersed by short bursts of high intensity.