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Mediterranean- and tropical-climate regions harbour the richest regional-scale floras globally. Until recently, however, comparisons of their diversities have been hindered by a lack of comprehensive inventories of tropical floras. Using taxonomically verified floras, we analyse area-adjusted plant diversities of five Mediterranean- and 35 tropical-climate regions to determine which are the most species-rich regions on Earth. On average, the Neotropics and tropical Southeast Asia support the most diverse floras globally. However, the area-adjusted diversities of the richest floras in these tropical regions are matched by those of two Mediterranean-climate floras, namely the Cape (second richest) and Mediterranean Basin (sixth richest). Except for Madagascar and Burundi, the Afrotropical regions were substantially less diverse than other tropical floras and half of the Afrotropical floras were poorer than the least diverse Mediterranean-climate region, namely Central Chile. We evaluate the likely ecological and evolutionary drivers of these plant diversity patterns in terms of three hypotheses that are apposite for global scale comparisons, namely water-energy dynamics, biome stability, and ecological heterogeneity. Water-energy dynamics appear to have little influence in explaining these diversity patterns: nodes of high global plant diversity are associated with climates that support year-round plant production (tropical climates) and those where the growing season is constrained by a winter rainfall regime (Mediterranean-type climates). Moreover, while the Afrotropics have higher primary production than the Neotropics and Southeast Asian tropics, they have markedly lower plant diversity. Instead, these patterns appear to be consistent with the hypothesis that the synergy of historical biome stability (reducing extinction rates) and high ecological heterogeneity (promoting speciation rates) better explain global patterns of regional-scale plant diversity.