1.Global warming and changes in precipitation patterns significantly affect plant fungal diseases, especially plant foliar fungal diseases. Research surrounding the effects of climate change on plants are mostly concentrated on aboveground vegetation and belowground soil microorganisms, with limited attention given to foliar fungal disease. Additionally, little is known whether climate change experiments can simulate the impact of variations on foliar diseases within real natural communities.2.We conducted a long-term experiment to investigate the effect of warming and altered precipitation on plant disease in an alpine grassland on the north-eastern Tibetan Plateau. Our study tracked foliar disease across 26 species of plants including non-legume forbs, legumes, grasses and sedges from 2019 to 2021. Each species was included in a two-factor full factorial experiment manipulating both temperature and precipitation.3.In our study the non-legume forb functional group carried the primary pathogen load, sedges maintained a near zero pathogen load across all investigated scenarios. Warming significantly elevated the pathogen load in legumes and non-legume forbs, while it reduced the pathogen load of grasses. Conversely, decreased precipitation significantly increased the pathogen load of non-legume forbs and increased the pathogen load of grasses. Notably, we found that pathogen load was primarily influenced by the direct effects of warming and precipitation, rather than indirectly through changes in plant community structure. Meanwhile, interannual climate variability exhibited a strong correlation with plant community pathogen loads. Areas experiencing increased temperature and precipitation showed lower fungal disease pressure, whereas regions with elevated temperatures combined with decreased precipitation faced a heightened risk of disease in alpine meadows on the Qinghai-Tibet Plateau.4.Our findings reveal that warming and decreased precipitation led to a reduction in above-ground biomass associated with increased the pathogen load of legumes. This underscores the importance of pathogen effects in both climate change prediction and ecological management.