Due to global warming, changes in the rainfall intensity profile (i.e., the temporal intensity distribution within a rainfall event) increase the difficulty of accurate erosion prediction and control. Surface cover has been widely used as a critical measure to control soil erosion worldwide. However, the effects of the rainfall intensity profile (RIP) on soil erosion under different surface covers are not fully understood. In this study, long-term in situ field observations of the rain hyetograph, surface runoff coefficient (SRC), subsurface flow rate (SFR), and soil loss rate (SLR) from bare land, litter cover and grass cover were conducted over 11 consecutive years in the red soil hilly region of southern China. According to the occurrence time of the most intense rainfall, 226 erosive events were classified into four RIP patterns: advanced, intermediate, delayed, and uniform patterns. The results indicated that the advanced pattern with short duration–high intensity and the delayed pattern with long duration–high depth contributed to 73.45% of the total erosive events. For bare land, advanced events were the dominant pattern producing surface runoff and soil erosion, accounting for 57.24% and 75.17%, respectively, of the total surface runoff and erosion. The average SRC and SLR from the advanced pattern were 1.29–2.42 times and 2.52–39.78 times greater than those from the other patterns, respectively. The delayed pattern contributed to subsurface flow, and the average SFR was 1.27–2.17 times greater than that of the other patterns. Furthermore, surface cover significantly reduced surface runoff and erosion and increased subsurface flow, especially under the advanced pattern. Both surface cover measures were equally effective in controlling surface runoff and erosion, but the increase in subsurface flow caused by litter cover was 1.38–2.67 times greater than that caused by grass cover. Advanced pattern events increase the erosion risk on red soil slopes, and surface cover effectively weakens the effect of variation in the RIP pattern on soil erosion. Moreover, surface cover significantly alters the surface‒subsurface flow distribution pattern for all the RIP patterns. This study highlights the crucial importance of rain intensity profiles on water erosion and provides a basis for optimizing measures to effectively control soil and water loss under climate change.