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South Asia, one of the most important food producing regions in the world, is facing a significant threat to food grain production under the influence of extreme high temperatures. Furthermore, the probability of simultaneous trends in extreme precipitation patterns and extreme heat conditions, which can have compounding effects on crops, is a likelihood in South Asia. In this study, we found complex relationships between extreme heat and precipitation patterns, as well as compound effects on major crops (rice and wheat) in South Asia. We also employed event coincidence analysis (ECA) to quantify the likelihood of simultaneous temperature and crop extremes. We used the Enhanced Vegetation Index (EVI) as the primary data to evaluate the distinct responses of major crops to weather extremes. Our results suggest that while the probability of simultaneous extreme events is small, most regions of South Asia (more than half) have experienced extreme events. The regulatory effect of precipitation on heat stress is very unevenly distributed in South Asia. The harm caused by a wet year at high temperature is far greater than that during a dry year, although the probability of a dry year is greater than that of a wet year. For the growing seasons, the highest significant event coincidence rates at a low EVI were found for both high- and low-temperature extremes. The regions that responded positively to EVI at extreme temperatures were mainly concentrated in irrigated farmland, and the regions that responded negatively to EVI at extreme temperatures were mostly in the mountains and other high-altitude regions. Implications can guide crop adaptation interventions in response to these climate influences.