The Mediterranean basin is particularly prone to climate change and vulnerable to its impacts. One of the most relevant consequences of climate change, especially for the southern Mediterranean regions, is certainly water scarcity as result of a reduction of surface runoff and groundwater levels. Despite the progress achieved in recent years in the field of climate change and its impact on water resources, results and outcomes should be treated with due caution since any future climate projection and derived implications are inevitably affected by a certain degree of uncertainty arising from each different stage of the entire modeling chain. This work offers a comprehensive overview of recent works on climate change in the Mediterranean basin, mainly focusing on the last ten years of research. Past and future trends on different components of the hydrological balance are discussed in a companion paper (Noto et al. 2022), while the present paper focuses on the problem of water availability and water scarcity. In addition, the work aims to discuss the most relevant sources of uncertainty related to climate change with the aim to gain awareness of climate change impact studies interpretation and reliability.

In the last few years, some regions of the Mediterranean area have witnessed a progressive increase in extreme events, such as urban and flash floods, as a response to the increasingly frequent and severe extreme rainfall events, which are often exacerbated by the ever-growing urbanization. In such a context, the urban drainage systems may not be sufficient to convey the rainwater, thus increasing the risk deriving from the occurrence of such events. This study focuses on a particularly intense urban flood that occurred in Palermo (Italy) on 15 July 2020; it represents a typical pluvial flood due to extreme rainfall on a complex urban area that many cities have experienced in recent years, especially in the Mediterranean region. A conceptual hydrological model and a 2D hydraulic model, particularly suitable for simulations in a very complex urban context, have been used to simulate the event. Results have been qualitatively validated by means of crowdsourced information and satellite images. The experience of Palermo, which has highlighted the urgent need for a shift in the way stormwater in urban settlements is managed, can be assumed to be a paradigm for modeling pluvial floods in complex urban areas under extreme rainfall conditions. Although the approaches and the related policies cannot be identical for all cities, the modeling framework used here to assess the impacts of the event under study and some conclusive remarks could be easily transferred to other, different urban contexts.