Sidi Bel Abbes plain, in Western Algeria, covers an area of 813 km2 and holds an important groundwater reservoir, providing the region with a large water potential. It displays characteristics of a peri-urban aquifer, with a large agricultural sector. The climatic variations that affected this region, the development of industrial and agricultural activities along with the over-exploitation of the groundwater resource negatively impact the aquifer's hydrodynamic balance. This work is structured around a multiapproach process based mainly on geophysical data to determine the reservoir bathymetry, rainfall data, humidity data using the standardized precipitation index (SPI), piezometric maps, hydrodynamic data, and groundwater extraction rate. Results revealed a significant decrease in humidity values over time. This negatively influences the water potential of the alluvial aquifer and induces a lateral recharge from adjacent aquifers (overfilling). Indeed, the rainfall contribution to the recharge appears low compared to that of the surrounding aquifers. However, total annual rainfall above 500 mm/year may reduce the input of the adjacent aquifers. Besides, our study indicates a well-defined hydrodynamic pattern in the alluvial aquifer, due to the bowl-shaped bedrock of the aquifer and the excessive overexploitation, especially downstream (the region of Sidi Bel Abbes). Thus, this aquifer adapted to such exploitation, through continuous and systematic recharge of drainage flows by the upstream groundwater (regions characterized by a wall uplift). The aquifer’s pluviometric dependence occurs clearly in its south-western part. A 50% humidity value implies a 0–10 m increase in the water table.