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The frequency of hydrological extremes (droughts and floods) has increased in recent years in India. A dense population, intensive agriculture, and rapidly developing physical infrastructure put India under the risk of hydrological extremes. However, a comprehensive overview of the drivers, changes, and impacts associated with hydrological extremes in India has been lacking. We examine the key processes and the role of climate and human interventions on hydrological extremes in India. We discuss the observed and projected changes in hydrological extremes along with their impacts. While the Indian summer monsoon is the primary driver of the hydrological extremes in India, human interventions (irrigation, reservoir storage, and groundwater pumping) play a crucial role in the changes and variability of hydrological extremes. The relative role of climate change and direct human interventions on changing the intensity and impacts of hydrological extremes need to be considered for future adaptation planning under climate change. The observed increase in the frequency and intensity of hydrological extremes will continue in the future with compound and cascading impacts due to the warming climate. We need to strengthen the observational network, improve hydrological modeling, reduce climate uncertainty, and develop robust early warning systems to adapt and mitigate hydrological extremes in India. This article is categorized under:Science of Water > Hydrological ProcessesScience of Water > Water ExtremesScience of Water > Water and Environmental Change [ABSTRACT FROM AUTHOR]

The risk of floods has increased in South Asia due to high vulnerability and exposure. The August 2022 Pakistan flood shows a glimpse of the enormity and devastation that can further rise under the warming climate. The deluge caused by the floods in 2022, which badly hit the country's southern provinces, is incomparable to any recent events in terms of the vast spatial and temporal scale. The flood event is ranked second in human mortality, while this was the top event that displaced about 33 million people in Pakistan. Using observations and climate projections, we examine the causes and implications of the 2022 flood in Pakistan. Multiday (∼15 days) extreme precipitation on wet antecedent soil moisture conditions was the primary driver of the flood in August 2022. The extreme precipitation in August was caused by two atmospheric rivers that passed over southern Pakistan. Streamflow simulations from the multiple hydrological models show that multiday extreme precipitation was the primary driver of floods. Several flood‐affected stations experienced anomalously higher flow than the upstream stations. The 2022 Pakistan flood highlights the adaptation challenges South Asia is facing along with the substantial need for climate mitigation to reduce the risk of such events. Plain Language Summary: The Pakistan flood of 2022 received a considerable attention. However, the causes and implications of the events have not been examined. Using observations, satellite data, and reanalysis products, we show that the event was caused by multiday extreme rainfall on wet antecedent conditions. The extreme rainfall was associated with the two atmospheric rivers that transported significant moisture from the Arabian Sea. The flood was primarily driven by the extreme precipitation and other factors (glacier‐melt) played a secondary role. Extreme precipitation is projected to increase in a warming climate, which highlight the strong need of adaptation and mitigation. Key Points: The southern provinces of Pakistan received more than 350% of average precipitation in July and August based on the 2001–2021 meanExtreme precipitation event in August is associated with atmospheric riversMultiday extreme precipitation was the primary driver of floods [ABSTRACT FROM AUTHOR]