Objective: To predict symptomatic recurrence among community stone formers with one or more prior stone episode. Patients and Methods: A random sample of incident symptomatic kidney stone formers in Olmsted County, Minnesota were followed for all symptomatic stone episodes resulting in clinical care from 1/1/1984 to 1/31/2017. Clinical and radiographic characteristics at each stone episode predictive of subsequent episodes were identified. Results: There were 3,364 incident kidney stone formers with 4,951 episodes. The stone recurrence rates per 100 person-years were 3.4 (95% CI, 3.2-3.7) after the first episode, 7.1 (95% CI, 6.4-7.9) after the second episode, 12.1 (95% CI, 10.3-13.9) after the third episode, and 17.6 (95% CI, 15.1-20.0) after the fourth or higher episode (P<.001 for trend). A parsimonious model identified the following independent risk factors for recurrence: younger age, male sex, higher body mass index, family history of stones, pregnancy, incident asymptomatic stone on imaging before the first episode; suspected stone episode before the first episode; history of a brushite, struvite, or uric acid stone; no history of calcium oxalate monohydrate stones, kidney pelvic or