This study investigated the role of the extremely warm sea surface temperature (EWSST) over the Gulf Stream (GS) in heavy precipitation induced by Hurricane Sandy in October 2012 during its extratropical transition (ET). A control (CTL) run with observed SST and a climate (CLM) run with climatological SST over the GS were performed using a high-resolution regional atmospheric model. Sandy-induced precipitation over the Mid-Atlantic coastal region was larger by approximately 40% in the CTL run than in the CLM run during its ET phase. The western sector of Sandy in the CTL run exhibited the westward-tilting lower-to-middle tropospheric front and the pronounced convectively unstable layer created by large surface fluxes of sensible and latent heat from the EWSST region. The intensified convective instability was released by the frontal deep updrafts, enhancing frontal precipitation in the western part of Sandy. A backward trajectory analysis demonstrated that the abundant moisture evaporated from the GS was imported into the western frontal rainbands by the low-level easterlies passing the northern sector of Sandy. The EWSST facilitated the moistening process of air parcels transported by the easterlies due to the active heat and moisture supply from the underlying current, contributing to the increase in moisture influx toward the western front. Another trajectory analysis indicated that the formation of low-level easterlies north of Sandy originated from the combination of Sandy and high-latitude synoptic-scale systems such as an anomalous high over the Labrador Sea and an extratropical cyclone east of Sandy. These results corroborate the importance of the extremely warm midlatitude ocean and complex high-latitude weather systems to the enhancement of Sandy-induced heavy precipitation.