Coastal hypoxia is a major environmental problem of increasing severity. The 21st-century projections analyzed indicate global coastal waters will warm and experience rapid declines in oxygen. The forecasted median coastal trends for increasing sea surface temperature and decreasing oxygen capacity are 48 % and 18 % faster than the rates observed over the last 4 decades. Existing hypoxic areas are expected to worsen, and new hypoxic areas likely will emerge under these warming-related pressures.