The tropical western Pacific and the adjacent South China Sea are home to many low-lying islands and coastal zones that are vulnerable to flood hazards resulting from extreme sea level (ESL) changes. Based on the hourly sea level recorded by 15 tide gauges during the period 1980-2018, this study evaluates the historical trend of ESLs over this region. On this basis, a regression model for hourly future sea-level prediction is established by combining the atmospheric reanalysis products, the tidal harmonics, and the outputs of three climate models archived by the Coupled Model Intercomparison Project Phase 6 (CMIP6) to evaluate the future ESL changes in 1.5 °C and 2.0 °C warmer climates. The historical trend of ESLs show that the ESLs along the coasts and islands of the tropical western Pacific have significantly risen during the past decades, which is mainly contributed by the mean sea level rise. And results from the historical observations and the prediction model show that in a warming climate from 1980 to 2050, both the mean sea levels and ESLs rise with fluctuations. The mean sea level change plays an important role in the secular trend of ESLs, while the interannual-to-decadal variability of ESLs is significantly affected by tides and extreme weather events. Under the warming scenario of 1.5°C, the changes in the return levels of ESL relative to the historical period are generally small at most tide gauge sites. Compared with the situations under 1.5°C warming, the return levels of ESL at most selected tide gauges will rise more significantly under the 2.0°C warming scenario, so the frequency of the current 100-year return level will reduce to less than 10 years at most stations. The above results suggest that this additional 0.5°C warming will cause a huge difference in the ESLs along the coasts and islands of the tropical western Pacific. As proposed in the Paris climate agreement, it is very necessary to limit anthropogenic warming to 1.5°C instead of 2.0°C, which will substantially reduce the potential risk of flood disasters along the coasts and islands of the tropical western Pacific.