Guanabara Bay, located in the Metropolitan Region of Rio de Janeiro, one of the largest urban coastal areas in the Southern Hemisphere, is subject to intense maritime traffic due to the presence of several ports. These facilities are affected by sea level fluctuations, influenced by atmospheric and astronomical forces, which motivates synoptic and climatological analysis, including meteorological and astronomical tidal phenomena. This study aimed to assess the evolution of tidal components and the relative mean sea level (MSL) between 1990 and 2021, as well as the atmospheric influence on extreme meteorological tide events, in which the MSL exceeded ±2 and ±3 (±29.98 and ±44.97 cm) standard deviations. The results have shown that, albeit small, the main tidal components (, , , , , , and ) indicated positive trends in the increase of amplitude and phase, despite the small quantities. For the relative MSL, an increase of 0.30 cm·year−1 was observed in agreement with estimates from global series from satellite altimeters and climate model predictions. Pressure and wind field analyses led to the identification of seasonal variability and the pattern of evolution of atmospheric systems associated with extreme events. In the case of positive surges, very intense winds from the SW, extending along the S/SE Brazilian coast, are caused by the presence of a high‐pressure centre over the continent and low‐pressure centres over the ocean, leading to water piling up. In turn, negative surges are caused by the presence of an anticyclone over the ocean, generating NE winds parallel to the coast of Rio de Janeiro, inducing Ekman transport and lowering the sea level. Therefore, the extreme sea level events in the Guanabara Bay are not triggered by local forces, but rather depend on the temporal persistence and direction of winds along the S/SE Brazilian coast.