The Northeast United States (NEUS) has faced the most rapidly increasing occurrences of extreme precipitation within the US in the past few decades. Understanding the physics leading to long‐term trends in regional extreme precipitation is essential but the progress is limited partially by the horizontal resolution of climate models. The latest fully coupled 25‐km GFDL (Geophysical Fluid Dynamics Laboratory) SPEAR (Seamless system for Prediction and EArth system Research) simulations provide a good opportunity to study changes in regional extreme precipitation and the relevant physical processes. Here, we focus on the contributions of changes in synoptic‐scale events, including atmospheric rivers (AR) and tropical cyclone (TC)‐related events, to the trend of extreme precipitation in the fall season over the Northeast US in both the recent past and future projections using the 25‐km GFDL‐SPEAR. In observations, increasing extreme precipitation over the NEUS since the 1990s is mainly linked to TC‐related events, especially those undergoing extratropical transitions. In the future, both AR‐related and TC‐related extreme precipitation over the NEUS are projected to increase, even though the numbers of TCs in the North Atlantic are projected to decrease in the SPEAR simulations using the SSP5‐8.5 projection of future radiative forcing. Factors such as enhancing TC intensity, strengthening TC‐related precipitation, and/or westward shift in Atlantic TC tracks may offset the influence of declining Atlantic TC numbers in the model projections, leading to more frequent TC‐related extreme precipitation over the NEUS. Plain Language Summary: In recent decades, the densely populated Northeast United States has faced the most rapid increase in the frequency of extreme rainfall within the US. Here, we examine the causes of the increase in extreme rainfall over the Northeast US in both current and future climates. We find that the surge in extreme rainfall since the 1990s is primarily linked to events associated with tropical cyclones. In a future warming climate, based on projections from a high‐resolution climate model, our research shows that we can expect more frequent occurrences of extreme rainfall related to both atmospheric rivers and tropical cyclones. However, the increase in extreme rainfall linked to atmospheric rivers is projected to outpace that associated with tropical cyclones. Given the distinct spatial patterns of extreme rainfall resulting from atmospheric rivers and tropical cyclones, changes in their relative contributions could have profound implications for flood prevention and mitigation strategies. Key Points: The autumn extreme precipitation trend over the Northeast US is primarily attributed to tropical cyclone‐related events since the 1990sIn future projections, extreme precipitation linked to atmospheric rivers increases faster than that associated with tropical cyclonesDespite fewer projected tropical cyclones in the future, extreme precipitation associated with them is projected to increase [ABSTRACT FROM AUTHOR]