Multiple climate-sensitive trace element/Ca and stable isotope (O and C) profiles derived from Dim Cave speleothems (S-SW Turkey) provide evidence of climatic changes and define a series of palaeohydrological conditions for the period ~10–90kyr. Dim Cave speleothem Mg/Ca, Sr/Ca, U/Ca, Ba/Ca, and Y/Ca ratios demonstrate similar patterns over glacial–interglacial scales, in agreement with δ18O and δ13C records. Three episodes of more positive moisture balance (71–63kyr, 51–40kyr, and 18–10kyr) were observed based on Y/Ca (and to a lesser extent Zr/Ca), 87Sr/86Sr ratios, calcite micromorphology, and growth rates. Increasing concentrations of Y, Zr (and U) and elevated 87Sr/86Sr ratios are attributed to enhanced levels of terrestrial input during these periods. Correlations between δ13C, δ18O and Mg/Ca during 40–18kyr (corresponding with the lowest growth rate of ~0.8mm/kyr), 63–51, and 80–71kyr (relatively low growth rates), as well as co-varying and enhanced Mg/Ca, Sr/Ca, and to a lesser extent Ba/Ca, ratios point to the prior calcite precipitation, wall rock interaction, and preferential dolomite dissolution over calcite in the host dolomitic limestone during these periods. This relationship suggests that water–rock interactions are maximised during episodes of slower drip rates of water through the karst under drier conditions. Chondrite-normalised rare earth element and yttrium (REY) patterns of the stalagmites reveal seawater signatures closely linked to the dolomitic limestone. Excluding the aragonite formation during ~80–75kyr, which is an autogenic effect, trace element/Ca ratios appear to respond to millennial scale global cooling periods such as Heinrich events.