AbstractWater temperature extremes can pose serious threats to the aquatic ecosystems of mountain rivers. These rivers are influenced by snow and glaciermelt, which change with climate. As a result, the frequency and severity of water temperature extremes may change. While previous studies have documented changes in non‐extreme water temperature, it is yet unclear how extreme water temperatures change in a warming climate and how their hydro‐meteorological drivers differ from those of non‐extremes. This study aims to assess temporal changes and spatial variability in water temperature extremes and enhance our understanding of the driving processes across European mountain rivers in the current climate, at both a regional and continental scale. First, we describe the characteristics of extreme events and explore their relationships with catchment characteristics. Second, we assess trends in water temperature extremes and compare them with trends in mean water temperature. Third, we use random forest models to identify the main driving processes of water temperature extremes. Last, we conduct a co‐occurrence analysis to examine the relationship between water temperature extremes and hydro‐climatic extremes. Our results show that mean water temperature has increased by °C per decade, leading to more extreme events at high elevations in spring and summer. While non‐extreme water temperatures are mainly driven by air temperature, water temperature extremes are also importantly influenced by soil moisture, baseflow, and meltwater. Our study highlights the complexity of water temperature dynamics in mountain rivers at the regional and continental scale, especially during water temperature extremes.