The populations, species, and communities in high elevation mountainous regions at or above tree line are being impacted by the changing climate. Mountain systems have been recognized as both resilient and extremely threatened by climate change, requiring a more nuanced understanding of potential trajectories of the biotic communities. For high elevation systems in particular, we need to consider how the interactions among climate drivers and topography currently structure the diversity, species composition, and life-history strategies of these communities. Further, predicting biotic responses to changing climate requires knowledge of intra- and inter-specific climate associations within the context of topographically heterogenous landscapes. Changes in temperature, snow, and rain characteristics at regional scales are amplified or attenuated by slope, aspect, and wind patterns occurring at local scales that are often under a hectare or even a meter in extent. Community assemblages are structured by the soil moisture and growing season duration at these local sites, and directional climate change has the potential to alter these two drivers together, independently, or in opposition to one another due to local, intervening variables. Changes threaten species whose water and growing season duration requirements are locally extirpated or species who may be outcompeted by nearby faster-growing, warmer/drier adapted species. However, barring non-analogue climate conditions, species may also be able to more easily track required resource regimes in topographically heterogenous landscapes. New species arrivals composed of competitors, predators and pathogens can further mediate the direct impacts of the changing climate. Plants are moving uphill, demonstrating primary succession with the emergence of new habitats from snow and rock, but these shifts are constrained over the short term by soil limitations and microbes and ultimately by the lack of colonizable terrestrial surfaces. Meanwhile, both subalpine herbaceous and woody species pose threats to more cold-adapted species. Overall, the multiple interacting direct and indirect effects of the changing climate on high elevation systems may lead to multiple potential trajectories for these systems.