The effect of mountainous regions with high elevation on hourly timescale rainfall presents great difficulties in flood forecasting and warning in mountainous areas. In this study, the hourly rainfall–elevation relationship of the regional scale is investigated using the hourly rainfall fields of three storm events simulated by Weather Research and Forecasting (WRF) model. From this relationship, a parameterized model that can estimate the spatial rainfall field in real time using the hourly rainfall observation data of the ground observation network is proposed. The parameters of the proposed model are estimated using eight representative pixel pairs in valleys and mountains. The proposed model was applied to the Namgang Dam watershed, a representative mountainous region in the Korea, and it was found that as elevation increased in eight selected pixel pairs, rainfall intensity also increased. The increase in rainfall due to the mountain effect was clearly observed with more rainfall in high mountainous areas, and the rainfall distribution was more realistically represented using an algorithm that tracked elevation along the terrain. The proposed model was validated using leave-one-out cross-validation with seven rainfall observation sites in mountainous areas, and it demonstrated clear advantages in estimating a spatial rainfall field that reflects the mountain effect. These results are expected to be helpful for flood forecasting and warning, which need to be calculated quickly, in mountainous areas. Considering the importance of orographic effects on rainfall spatial distribution in mountainous areas, more storm events and physical analysis of environmental factors (wind direction, thermal cycles, and mountain slope angle) should be continuously studied.