Reductions in industrial pollutant loads and the introduction and modernization of wastewater treatment facilities have improved the quality of inland waters in Europe and elsewhere, but climatic change, changes in runoff and the legacy of mine wastes may increase pressures on many aquatic environments. In the present study, data obtained by monitoring the French–German river are collated to visualize long-term trends in the pollution, river discharges and temperatures of Moselle waters. While air temperatures and accumulated heat sums in the catchment area showed an upward trend, precipitation and discharge levels as well as river temperatures were less affected by the ongoing climatic change. At the same time, the electric conductivity, i.e., the total suspended solids, did not show the anticipated reductions, while oxygen levels and pH values have showed upward trends since the 1990s. Despite the improvements in classical water quality parameters, the flooding of abandoned mines, increased water abstraction for cooling and agriculture and untreated old and emerging pollutants may aggravate environmental problems in the future. Climatic change will probably modify the runoff of pollutant loads by increasing the severity of flash floods and by concentrating water pollutants in drought spells.