Plant pathogens are important for community assembly and ecosystem functioning and respond to a variety of abiotic and biotic factors, which may change along elevational gradients. Thus, elevational gradients are a valuable model system for exploring how environmental, plant community and soil factors influence pathogen communities. Yet, how these factors influence pathogens in natural ecosystems remains poorly understood. We examined the dynamics of plant fungal pathogens along elevational gradients, as well as the mechanisms shaping these dynamics, by combining a field survey on the Tibetan Plateau with a global meta‐analysis. In the field survey, increasing elevation was associated with a decrease in soil fungal pathogen richness but not in foliar fungal disease symptoms. Elevation was primarily related to soil fungal pathogen richness through abiotic factors, whereas no association was found between elevation and foliar fungal diseases. The meta‐analysis confirmed the generality of our field survey results: elevation was associated with a decrease in soil fungal pathogen richness, but it had no consistent relationship with foliar fungal diseases or pathogens. Thus, above‐ and belowground plant pathogen communities showed distinct elevational patterns, providing new insights into underlying mechanisms.