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The Fertile Crescent, its hilly flanks and surrounding drylands has been a critical region for studying how climate has influenced societal change, and this review focuses on the region over the last 20,000 years. The complex social, economic, and environmental landscapes in the region today are not new phenomena and understanding their interactions requires a nuanced, multidisciplinary understanding of the past. This review builds on a history of collaboration between the social and natural palaeoscience disciplines. We provide a multidisciplinary, multiscalar perspective on the relevance of past climate, environmental, and archaeological research in assessing present day vulnerabilities and risks for the populations of southwest Asia. We discuss the complexity of palaeoclimatic data interpretation, particularly in relation to hydrology, and provide an overview of key time periods of palaeoclimatic interest. We discuss the critical role that vegetation plays in the human-climate-environment nexus and discuss the implications of the available palaeoclimate and archaeological data, and their interpretation, for palaeonarratives of the region, both climatically and socially. We also provide an overview of how modelling can improve our understanding of past climate impacts and associated change in risk to societies. We conclude by looking to future work, and identify themes of "scale" and "seasonality" as still requiring further focus. We suggest that by appreciating a given locale's place in the regional hydroscape, be it an archaeological site or palaeoenvironmental archive, more robust links to climate can be made where appropriate and interpretations drawn will demand the resolution of factors acting across multiple scales. This article is categorized under:Human Water > Water as Imagined and RepresentedScience of Water > Water and Environmental ChangeWater and Life > Nature of Freshwater Ecosystems., Competing Interests: The authors have declared no conflicts of interest for this article., (© 2019 The Authors. WIREs Water published by Wiley Periodicals, Inc.)

Speleothem-based stable isotope records are valuable in sub-humid and semi-arid settings where many other terrestrial climate proxies are fragmentary. The Eastern Mediterranean is one such region. Here we present an 80-kyr-long precisely-dated (by U-series) and high-resolution oxygen (δ(18)O) and carbon (δ(13)C) records from Dim Cave (~36°N) in SW Turkey. The glacial-interglacial δ(18)O variations in the Dim Cave speleothem are best explained in terms of changes in the trajectories of winter westerly air masses. These are along a northerly (European) track (isotopically less depleted) during the early last glaciation but are gradually depressed southward closer to the modern westerly track along the North African coast (more depleted) after c.50 kyr and remain in the southern track through the Last Glacial Maximum. The southward displacement of the westerly track reflects growth of the Fennoscandian ice sheet and its impact on westerly wind fields. Changes in δ(13)C are interpreted as reflecting soil organic matter composition and/or thickness. δ(13)C values are significantly more negative in interglacials reflecting active carbonic acid production in the soil and less negative in glacial times reflecting carbonate rock values. Several Heinrich events are recorded in the Dim record indicating intensification of westerly flow across this part of the EM.