Irregular climate events frequently occur in Southeast Asia due to the numerous climate patterns combining. Thailand sits at the confluence of these interactions, and consequently experiences major hydrological events, such as droughts. Proxy data, speleothem records, lake sediment sequences and tree ring chronologies were used to reconstruct paleo drought conditions. These trends were compared with modelled and historic El Niño Southern Oscillation (ENSO) data to assess if the ENSO climate phenomena is causing droughts in Thailand. Drought periods were found to occur both during El Niño events and ENSO neutral conditions. This indicates droughts are not a product of one climate pattern, but likely the result of numerous patterns interacting. There is uncertainty regarding how climate patterns will evolve under climate change, but changes in amplitude and variability could potentially lead to more frequent and wider reaching hydrological disasters. It is vital that policies are implemented to cope with the resulting social and economic repercussions, including diversification of crops and reorganisation of water consumption behaviour in Thailand.