Moving from an era of dam building to dam removal brings additional perspectives to indigenous water governance and hydrosocial relations in the Klamath River Basin (US). This collaborative research initiative with the Karuk Tribe builds greater understanding of the sociocultural impacts of Klamath dam removal and river restoration through Karuk knowledge. Addressing a knowledge gap around the social dimensions of dam removal, we held focus groups and interviews with Karuk cultural practitioners, tribal leaders, and tribal youth in the six-month period leading up to demolition. Extending beyond a focus on infrastructure removal or single-species restoration, we consider how Indigenous environmental relations and cosmologies are embedded in dam removal and river restoration. Specifically, Karuk knowledge shifts the significance of dam removal by elucidating deeply interconnected ecological, cultural, and ceremonial relations that are co-constituted with the Klamath watershed, thereby recasting dam removal as a holistic eco-cultural revitalization initiative. This reconfigures dam removal goals to include improving community health and well-being, enhancing spiritual elements of river restoration, responding to colonial legacies, and engaging tribal youth. In the Klamath case, restorative justice becomes possible through Karuk participation in river restoration to facilitate the revitalization of reciprocal relations held between Karuk people and the Klamath River—including Karuk eco-cultural and ceremonial practices for restoring balance in the world.