Increased atmospheric evaporative demand has important implications for humans and ecosystems in water-scarce lands. While temperature plays a significant role in driving evaporative demand and its trend, other climate variables are also influential and their contributions to recent trends in evaporative demand are unknown. We address this gap with an assessment of recent (1980-2020) trends in annual reference evapotranspiration (ETo) and its drivers across the continental US based on five gridded datasets. In doing so, we characterize the structural uncertainty of ETo trends and decompose the relative influences of temperature, wind speed, solar radiation, and humidity. Results highlight large and robust changes in ETo across much of the western US, centered on the Rio Grande region where ETo increased 135-235 mm during 1980-2020. The largest uncertainties in ETo trends are in the central and eastern US and surrounding the Upper Colorado River. Trend decomposition highlights the strong and widespread influence of temperature, which contributes to 57% of observed ETo trends, on average. ETo increases are mitigated by increases in specific humidity in non-water limited regions, while small decreases in specific humidity and increases in wind speed and solar radiation magnify ETo increases across the West. Our results show increases in ETo across the West that are already emerging outside the range of variability observed 20-40 years ago. Our results suggest that 21st century land and water managers need to plan for an already increasing influence of evaporative demand on water availability and wildfire risks.