Episodes of hot weather and poor air quality pose significant consequences for public health. In this study, these episodes are addressed by applying the observational data of daily air temperature and ozone concentrations in an event-based risk assessment approach in order to detect individual heat and ozone events, as well as events of their co-occurrence in Berlin, Germany, in the years 2000 to 2014. Various threshold values are explored so as to identify these events and to search for the appropriate regressions between the threshold exceedances and mortality rates. The events are further analyzed in terms of their event-specific mortality rates and their temporal occurrences. The results reveal that at least 40% of all heat events during the study period are accompanied by increased ozone concentrations in Berlin, particularly the most intense and longest heat events. While ozone events alone are only weakly associated with increased mortality rates, elevated ozone concentrations during heat events are found to amplify mortality rates. We conclude that elevated air temperatures during heat events are one major driver for increased mortality rates in Berlin, but simultaneously occurring elevated ozone concentrations act as an additional stressor, leading to an increased risk for the regional population. ozone concentrations [17,21,22]. However, studies focusing on the relation between both stressors themselves, as well as their combined effect on human health, also reveal inconsistent results for different regions or their relative effect-contribution [13,17,23]. A comparison of 25 Italian cities revealed a strong effect modification by ozone concentrations to the air temperature-mortality association only in some cities, whereas other cities showed no effect modification [21]. Similar results were found in a Europe-wide study. However, they found no evidence for an effect modification when heat waves were considered instead of air temperature for any of the cities where the study was carried out [22]. Other investigations could not even find any interaction or confounding between air temperature and ozone to affect all-cause mortality [24,25]. Inconsistencies in the results are mainly attributed to the local-specific characteristics of the city under investigation (e.g., [21][22][23]). This underlines the need for a better understanding of the mechanisms between these environmental stressors and their resulting health effects.Physically, both health stressors are closely linked to each other, but the nature of the relationship between air temperature and ozone is highly complex and depends on a number of variables. The formation of ozone as a secondary pollutant is driven by the photochemical oxidation of precursors like volatile organic carbons, methane, and carbon monoxide [26][27][28]. Strong ozone forming can be observed during days of warm, cloud-free, and calm conditions [29][30][31]. Persistent atmospheric conditions of low winds speeds accompanied by high air temperature may enhance the accumulation ...