The passive, ambient sound above the water from a river has previously untapped potential for determining flow characteristics such as stage. Measuring sub-aerial sound could provide a new, efficient way to continuously monitor river stage, without the need for in-stream infrastructure. Previous published work has suggested that there might be a relationship between sound and river stage, but the analysis has been restricted to a narrow range of flow conditions and river morphologies. We present a method to determine site suitability and the process of how to record and analyse sound. Data collected along a 500 m length of the River Washburn during July 2019 is used to determine what makes a site suitable for sound monitoring. We found that sound is controlled by roughness elements in the channel, such as a boulder or weir, which influences the sound produced. On the basis of these findings, we collect audio recordings from six sites around the northeast of England, covering a range of flow conditions and different roughness elements, since 2019. We use data from those sites collected during storms Ciara and Dennis to produce a relationship between this sound and river stage. Our analysis has shown a positive relationship between an R 2 of 0.73 and 0.99 in all rivers, but requires careful site selection and data processing to achieve the best results. We introduce a filter that is capable of isolating a river's sound from other environmental sound. Future work in examining the role of these roughness elements is required to understand the full extent of this technique. By demonstrating that sound can operate as a hydrometric tool, we suggest that sound monitoring could be used to provide cost-effective monitoring devices, either to detect relative change in a river or, after more research, a reliable stage measurement.