Core Ideas: This review synthesizes the state of the science in permafrost hydrology. Observed and projected hydrologic impacts of permafrost thaw are discussed. Characterization, modeling, and knowledge gaps of permafrost systems are identified. Translating results between multiple scales in cold regions presents a challenge. Opportunities for advancement in the field of permafrost hydrology are described. Where present, permafrost exerts a primary control on water fluxes, flowpaths, and distribution. Climate warming and related drivers of soil thermal change are expected to modify the distribution of permafrost, leading to changing hydrologic conditions, including alterations in soil moisture, connectivity of inland waters, streamflow seasonality, and the partitioning of water stored above and below ground. The field of permafrost hydrology is undergoing rapid advancement with respect to multiscale observations, subsurface characterization, modeling, and integration with other disciplines. However, gaining predictive capability of the many interrelated consequences of climate change is a persistent challenge due to several factors. Observations of hydrologic change have been causally linked to permafrost thaw, but applications of process‐based models needed to support and enhance the transferability of empirical linkages have often been restricted to generalized representations. Limitations stem from inadequate baseline permafrost and unfrozen hydrogeologic characterization, lack of historical data, and simplifications in structure and process representation needed to counter the high computational demands of cryohydrogeologic simulations. Further, due in part to the large degree of subsurface heterogeneity of permafrost landscapes and the nonuniformity in thaw patterns and rates, associations between various modes of permafrost thaw and hydrologic change are not readily scalable; even trajectories of change can differ. This review highlights promising advances in characterization and modeling of permafrost regions and presents ongoing research challenges toward projecting hydrologic and ecologic consequences of permafrost thaw at time and spatial scales that are useful to managers and researchers.

Cold groundwater discharge to streams and rivers can provide critical thermal refuge for threatened salmonids and other aquatic species during warm summer periods. Climate change may influence groundwater temperature and flow rates, which may in turn impact riverine ecosystems. This study evaluates the potential impact of climate change on the timing, magnitude, and temperature of groundwater discharge from small, unconfined aquifers that undergo seasonal freezing and thawing. Seven downscaled climate scenarios for 2046–2065 were utilized to drive surficial water and energy balance models (HELP3 and ForHyM2) to obtain future projections for daily ground surface temperature and groundwater recharge. These future surface conditions were then applied as boundary conditions to drive subsurface simulations of variably saturated groundwater flow and energy transport. The subsurface simulations were performed with the U.S. Geological Survey finite element model SUTRA that was recently modified to include the dynamic freeze‐thaw process. The SUTRA simulations indicate a potential rise in the magnitude (up to 34%) and temperature (up to 3.6°C) of groundwater discharge to the adjacent river during the summer months due to projected increases in air temperature and precipitation. The thermal response of groundwater to climate change is shown to be strongly dependent on the aquifer dimensions. Thus, the simulations demonstrate that the thermal sensitivity of aquifers and baseflow‐dominated streams to decadal climate change may be more complex than previously thought. Furthermore, the results indicate that the probability of exceeding critical temperature thresholds within groundwater‐sourced thermal refugia may significantly increase under the most extreme climate scenarios.