Rivers face constant anthropogenic stressors, resulting in significant changes in microbial community composition. What remains unclear is whether these changes render the microbiome better adapted to the stressed environment. Here, by subjecting 64 river-connected mesocosms to multiple stressors, we show that sediment microbiomes of small lowland rivers are highly sensitive to lowered flow velocity resulting in substantially altered community compositions not fully capable of compensating for the stressor effect within two weeks albeit having stable functions encoded in metagenomes. Transcriptomics revealed a systematic heat shock response in the community and a highly active, previously unknown anaerobic key stone species with great metabolic versatility. Increases in temperature (+3.5 degrees C) or salinity (+0.5 mS/cm) were outcompeted by lowered flow and elicited only minor responses at community or transcriptomic level with, e.g., upregulation of the photosystem of chloroplasts. Following a two week recovery period, transcriptomic stress responses vanished completely compared to control mesocosms, exemplifying the river microbiomes' resilience. We conclude that, given the complex community responses at both the cellular and compositional level, maintaining natural river flow is vital to preventing energy loss and reduced microbiome activity in river sediments.