Human population growth and urban development are affecting climate, land use, and the ecosystem services provided to society, including the supply of freshwater. We investigated the effects of land use and climate change on water resources in the Yadkin-Pee Dee River Basin of North Carolina, United States. Current and projected land uses were modeled at high resolution for three watersheds representing a forested to urban land use gradient by melding the National Land Cover Dataset with data from the U.S. Forest Service Forest Inventory and Analysis. Forecasts for 2051-2060 of regional land use and climate for scenarios of low (B2) and moderately high (A1B) rates of change, coupled with multiple global circulation models (MIROC, CSIRO, and Hadley), were used to inform a distributed ecohydrological model.Our results identified increases in water yields across the study watersheds, primarily due to forecasts of increased precipitation. Climate change was a more dominant factor for future water yield relative to land use change across all land uses (forested, urban, and mixed). When land use change was high (27% of forested land use was converted to urban development), it amplified the impacts of climate change on both the magnitude and timing of water yield.Our fine-scale (30-m) distributed combined modeling approach of land use and climate change identified changes in watershed hydrology at scales relevant for management, emphasizing the need for modeling efforts that integrate the effects of biophysical (climate) and social economic (land use) changes on the projection of future water resource scenarios.