Climate and other human-induced changes will increase water scarcity in world areas such as in the Mediterranean. Adaptation principles need to be urgently incorporated into water management and stakeholder engagement needs to be strengthened at all steps of the management cycle. This study aimed to analyse and compare stakeholder-preferred water management options (WMOs) to face climate change related challenges and to foster adaptation in four Mediterranean river basins. The challenges and WMOs of the four river basins identified by stakeholders were analysed examining to what extent the WMOs tackled the identified challenges. The impact of the WMOs resulting from a participatory modelling method was included in a comparative analysis of ...