Abstract Previous paleoenvironmental data synthesis indicates that arid central Asia (“westerlies Asia”) and mid-latitude East Asia (“monsoonal Asia”) show anti-phased moisture variations over the last millennium. However, there are very few records from inland Northeast Asia, which obscures the spatial extent of or the boundary between the two domains and hinders the assessment of climate change impacts and consequences across the region. Here, we present a multi-proxy record that combines peat properties, plant macrofossils, and isotopic ratios of Sphagnum moss cellulose from a unique precipitation-fed peatland in northern Northeast China to fill this critical data gap. The results show major centennial-scale moisture anomalies at this site, with drier and wetter conditions during the Medieval Warm Period and Little Ice Age, respectively, which resemble the pattern of moisture changes in “westerlies Asia”. During the period of rapid anthropogenic warming, the site is much drier, with isotopic evidence for threshold-like summer desiccation of peat-forming Sphagnum mosses. This study provides the long-term context and identifies the large-scale pattern of moisture variability in an inland region home to carbon-rich peatlands, forests, and permafrost soils, and highlights their potential vulnerability to future warming-enhanced drying that can be transmitted widely through atmospheric teleconnection.