Extreme hydrometeorological events are often highly destructive and can cause huge damage to the natural environment and social economy. As climate change and human activities intensify, the frequency and intensity of such extreme events continue to increase. This phenomenon is also shown in the Hanjiang River Basin (HRB) in recent decades. In this study, we focus on the coincidence occurrence patterns of extreme hydrometeorological events. First, we used the standardized index method to extract the annual maximum and minimum values of runoff, precipitation, maximum and minimum temperatures from 1961 to 2019 in the control area of the Baihe (BH) hydrological station, with time scales from 1 month to 12 months. Then through the Copula and nested structure Copula functions, the joint occurrence probability of bivariate and multivariate were analyzed. The results show that too high a maximum temperature will inhibit runoff, while an increase in minimum temperature will promote an increase in runoff to a certain extent. Both the maximum and minimum temperatures in the basin shown a significant increasing trend, and the intensity of hydrological drought also shows an increasing trend. An increase in maximum temperature will aggravate hydrological drought, as the combined joint occurrence probability of them is the greatest. Analysis through the nested structure Copula functions show that when extreme hydrometeorological events both occurred at the median of their intervals, their coincidence occurrence probability is the maximum, and when the time scale is eight months, their coincidence occurrence probability is the highest. This study can provide a reference for joint probability analysis of extreme hydrometeorological events.