In the East China Sea, hypoxia (oxygen ≤ 62.5 mmol m −3 ) is frequently observed off the Changjiang (or Yangtze) River estuary covering up to about 15,000 km 2 . The Changjiang River is a major contributor to hypoxia formation because it discharges large amounts of freshwater and nutrients into the region. However, modelling and observational studies have suggested that intrusions of nutrient-rich oceanic water from the Kuroshio Current also contribute to hypoxia formation. The relative contributions of riverine versus oceanic nutrient sources to hypoxia have not been estimated before. Here, we combine 5 a three-dimensional, physical-biogeochemical model with an element tracing method to quantify the relative contributions of nitrogen from different riverine and oceanic sources to hypoxia formation during 2008-2013. Our results suggest that the hypoxic region north of 30 • N is dominated by Changjiang River inputs, with its nitrogen loads supporting 74% of oxygen consumption. South of 30 • N, oceanic nitrogen sources become more important supporting 39% of oxygen consumption during the hypoxic season, but the Changjiang River remains the main control of hypoxia formation also in this region. Model scenarios 10 with reduced Changjiang River nitrogen loads and reduced open-ocean oxygen levels suggest that nitrogen load reductions can significantly reduce hypoxia in the East China Sea and counteract a potential future decline in oxygen supply from the open ocean into the region.