Water quality trends from 1970 to 2005 were defined along 30 Delaware streams in the Delaware and Chesapeake Bay watersheds in the USA. Water quality improved or was constant at 69% of stations since 1990 and at 80% of stations since 1970/1980. Dissolved oxygen (DO) improved or was constant at 73% of streams since 1990 and 32% of streams since 1970/1980. Total suspended sediment improved or was constant at 75% of streams since 1990 and 100% of streams since 1970/1980. Enterococcus bacteria improved or remained constant at 80% of streams since 1990 and 93% of streams since 1970/1980. Total Kjeldahl nitrogen improved or was constant at 48% of streams since 1990 and 100% of streams since 1970/1980. Total phosphorus improved or was constant at 66% of streams since 1990 and 85% of streams since 1970/1980. During 2001–2005, median levels were good or fair at 100% of the stations for DO, 78% for sediment, 50% for bacteria, 59% for nitrogen, and 56% for phosphorus. Good water quality correlates with high amounts of forest area (>25%) in Delaware watersheds. Since the Federal Clean Water Act Amendments of the 1970s, improving Delaware water quality stations (50) outnumbered degrading stations (23) by a 2:1 margin. Since 1990, degrading water quality stations (46) exceeded improving stations (38) mostly due to deteriorating nitrogen levels in half of Delaware streams, a reversal from early gains achieved since the 1970s. Over the last three and a half decades, watershed strategies have improved or preserved water quality along Delaware streams; however, greater emphasis is needed to curb recently resurging increases in nitrogen levels.