Complete ammonia oxidizers (comammox), able to individually oxidize ammonia to nitrate, are considered to play a significant role in the global nitrogen cycle. However, the distribution of comammox
Nitrospira
in estuarine tidal flat wetland and the environmental drivers affecting their abundance and diversity remain unknown. Here, we present a large-scale investigation on the geographical distribution of comammox
Nitrospira
along the estuarine tidal flat wetlands of China, where comammox
Nitrospira
were successfully detected in 9 of the 16 sampling sites. The abundance of comammox
Nitrospira
ranged from 5.19 × 10
3
to 8.33 × 10
4
copies/g, 2.21 to 5.44-folds lower than canonical ammonia oxidizers: ammonia-oxidizing bacteria (AOB) and ammonia-oxidizing archaea (AOA). Phylogenetic analysis based on the alpha subunit of the ammonia monooxygenase encoding gene (
amoA
) revealed that comammox
Nitrospira
Clade A, mainly originating from upstream river inputs, accounts for more than 80% of the detected comammox
Nitrospira
, whereas comammox
Nitrospira
clade B were rarely detected. Comammox
Nitrospira
abundance and dominant comammox
Nitrospira
OTUs varied within the estuarine samples, showing a geographical pattern. Salinity and pH were the most important environmental drivers affecting the distribution of comammox
Nitrospira
in estuarine tidal flat wetlands. The abundance of comammox
Nitrospira
was further negatively correlated with high ammonia and nitrite concentrations. Altogether, this study revealed the existence, abundance and distribution of comammox
Nitrospira
and the driving environmental factors in estuarine ecosystems, thus providing insights into the ecological niches of this recently discovered nitrifying consortium and their contributions to nitrification in global estuarine environments.