The effects of global warming are stronger in high-elevation environments than elsewhere. Here, we review recent advances in alpine plant ecology with a focus on dry mountain ranges, mainly in Mediterranean-type climate, with a global change perspective. Raising temperatures and changes in precipitation influence both plant growth and reproduction, and therefore the spatial distribution of species. Research in high-elevation systems evidenced that plant–plant interactions involving cushion plants play a crucial role in the assembly of plant communities, influencing species richness, genetic and phylogenetic diversity, and species persistence. By buffering environmental extremes and ameliorating biophysical conditions, cushion plant species acting as ecosystem engineers are fundamental in the response of alpine ecosystems to global warming, mitigating negative impacts on different plant species with narrow niche and small distribution range.