We establish the foundations of a nonequilibrium theory of quantum thermodynamics for noninteracting open quantum systems strongly coupled to their reservoirs within the framework of the nonequilibrium Green's functions. The energy of the system and its coupling to the reservoirs are controlled by a slow external time-dependent force treated to first order beyond the quasistatic limit. We derive the four basic laws of thermodynamics and characterize reversible transformations. Stochastic thermodynamics is recovered in the weak coupling limit. DOI: 10.1103/PhysRevLett.114.080602 PACS numbers: 05.70.Ln, 05.60.Gg Nonequilibrium thermodynamics of open quantum systems is a powerful tool for the study of mesoscopic and nanoscale systems. It allows one to reliably assess the performance of energy-converting devices such as thermoelectrics or photoelectrics, by identifying the system entropy production. It enables one to meaningfully compare these different devices by discriminating the systemspecific features from the universal ones and to appraise the role of quantum effects. It can also be used to verify the thermodynamic consistency of approximation schemes. Such a theory is nowadays available for systems weakly interacting with their surrounding [1][2][3][4][5][6], where it has proven very useful [7][8][9][10][11][12][13][14][15]. However, in case of strong system-reservoir interactions, finding definitions for heat, work, entropy, and entropy production, which satisfy the basic laws of thermodynamics is an open problem. Each proposal has its own limitations [16][17][18][19][20][21][22][23], even at equilibrium [24][25][26][27][28][29][30]. Reversible transformations, for instance, are never explicitly characterized. Establishing a consistent nonequilibrium thermodynamics for open quantum systems strongly coupled to their surrounding is therefore an important step towards a more realistic thermodynamic description of mesoscopic and nanoscale devices. It is also essential to improve our understanding of the microscopic foundations of thermodynamics.In this Letter, we use the nonequilibrium Green's functions (NEGF) to establish a fully consistent nonequilibrium thermodynamic description of a fermionic single quantum level strongly coupled to multiple fermionic reservoirs. A slow time-dependent driving force controls the level energy as well as the system-reservoir interaction. We propose definitions for the particle number, the energy, and the entropy of the system, as well as for entropy production, heat, and work, which give rise to a consistent zeroth, first, second, and third law. These definitions can be seen as energy resolved versions of the weak coupling definitions used in stochastic thermodynamics. An interesting outcome of our approach is that the general form of the energy and particle currents is different from the standard form used in the NEGF and cannot be expressed as an expectation value of operators. We recover the known expressions when considering nonequilibrium steady states (i.e., in absenc...