Abstract. An understanding of potential stream water quality conditions under future climate is critical for the sustainability of ecosystems and the protection of human health. Changes in wetland water balance under projected climate could alter wetland extent or cause wetland loss (e.g., via increased evapotranspiration and lower growing season flows leading to reduced riparian wetland inundation) or altered land use patterns. This study assessed the potential climate-induced changes to in-stream sediment and nutrient loads in the snowmelt-dominated Sprague River, Oregon, western US. Additionally, potential water quality impacts of combined changes in wetland water balance and wetland area under future climatic conditions were evaluated. The study utilized the Soil and Water Assessment Tool (SWAT) forced with statistical downscaling of general circulation model (GCM) data from the Coupled Model Intercomparison Project 5 (CMIP5) using the Multivariate Adaptive Constructed Analogs (MACA) method. Our findings suggest that, in the Sprague River, (1) mid-21st century nutrient and sediment loads could increase significantly during the high-flow season under warmer, wetter climate projections or could change only nominally in a warmer and somewhat drier future; (2) although water quality conditions under some future climate scenarios and no wetland loss may be similar to the past, the combined impact of climate change and wetland losses on nutrient loads could be large; (3) increases in stream total phosphorus (TP) concentration with wetland loss under future climate scenarios would be greatest at high-magnitude, low-probability flows; and (4) loss of riparian wetlands in both headwaters and lowlands could increase outlet TP loads to a similar degree, but this could be due to distinctly different mechanisms in different parts of the watershed.