Throughout the world, river basins are directly or indirectly affected by human activities, reducing local and global biodiversity and preventing the ecosystem from properly functioning. Our research focused on the Irpin River basin (Ukraine), whose water bodies have experienced various impacts due to human activities, including the unexpected extremes caused by military operations in the catchment area: long-term flooding, disturbance of free flow, significant water level fluctuations, etc. The study hypothesized that the primary factors determining the structural and spatial distribution of quantitative indicators of microalgae and aquatic macrophytes are the result of various hydromorphological changes, that lead to changes in the physical and chemical parameters of the aquatic environment. Very high values of chlorophyll a in the water column (59–106 µg · L−1), an increase in the abundance (number of cells) and biomass of algae (due to the predominance of certain groups in the transformed sections), as well as saprobic index were recorded in the sections of the Irpin River basin that underwent significant hydromorphological changes. Our results revealed a strong correlation between phytoplanktonic (in the water column) chlorophyll a levels and water temperature (r = 0.76, p < 0.001), as well as organic phosphorus and polyphosphate concentrations (r = 0.61, p < 0.01). ANOVA and Monte Carlo permutation tests in a Canonical Correspondence Analysis (CCA) showed that the abundance of different divisions of phytoplankton and phytobenthos were significantly and similarly related to several environmental variables. We observed a positive correlation between the number of cyanobacteria and the concentration of ammonium nitrogen, nitrites, and phosphorus compounds. An increase in dissolved organic matter in the water can explain the increase in the biomass of Dinoflagellata and Euglenophyta. Species richness and the cover values of the macrophytes also clearly reflected changes in vegetation activity in sections of the Irpin River caused by hydromorphological changes. The results indicated that long-term flooding had the most negative impact on macrophyte communities. At some sites, the impact was so severe that the number of macrophyte species was very low. The total number of macrophyte species showed a significant negative correlation with total suspended solids (r = −0.51, p < 0.05) and phytoplankton chlorophyll a concentration (r = −0.73, p < 0.001). Our results provide a scientific basis for predicting changes in riverine microalgal and aquatic macrophyte communities due to extreme hydrological events.