This study investigates patterns of the alignment of the accentual peaks in bisyllabic words of the CVNCV, CVNV, and CVNNV structures in North Kyungsang Korean. Based on the tonal alignment, patterns of the F0 pitch excursion are discussed relative to one another. Issues are addressed concerning how the tonal targets are aligned, and how the tonal specifications of nasals in postvocalic, intervocalic, and prevocalic environments are supplied in the LH, HL, and HH classes. Tonal specification of nasals in various environments is accounted for by extension of the L target, displacement of the pitch peak, and interpolation between two tonal targets, depending on the tonal class. The results in this study provide preliminary evidence that the categorical alignment of the tonal targets is implemented by simply checking the presence or absence of a nasal before or after the nucleus vowel on the segmental string, without reference to the constituency of the nasal in the syllable structure. However, the prosodic structure has a key role to play in explaining speaker-dependent variations in the tonal alignment. Sensitivity to tautosyllabicity has an effect on the shape of the F0 contour, and disparity in the patterns of the pitch excursion is represented as a function of syllable structure correlated with segmental composition of the nasal.