Let K be a field and let S = K [x 1 , . . . , x n ] be a standard polynomial ring over a field K . We characterize the extremal Betti numbers, values as well as positions, of a t-spread strongly stable ideal of S. Our approach is constructive. Indeed, given some positive integers a 1 , . . . , a r and some pairs of positive integers (k 1 , 1 ), . . . , (k r , r ), we are able to determine under which conditions there exists a t-spread strongly stable ideal I of S with β k i ,k i + i (I ) = a i , i = 1, . . . , r , as extremal Betti numbers, and then to construct it.