Extreme El Niño events (e.g., 1982–1983, 1997–1998) are characterized by strong, eastward-shifted warm Sea Surface Temperature anomalies, and a southward migration of the eastern Pacific Inter-Tropical Convergence Zone (ITCZ) to the equator. Using an ensemble simulation with a single AMIP6 model, Beniche et al. (2024, https://doi.org/10.1038/s41598-024-52580-9) suggested that such events uniquely yield an eastward shift of the Pacific-North American (PNA) teleconnection pattern, with specific impacts over North America. Here, we first examine the robustness of these results in 135 ensemble members from 23 different AMIP6 models. The specific, eastward-shifted extreme El Niño teleconnection pattern is robust in all models but one. It is also highly reproducible across years and ensemble members, due to stronger teleconnection amplitude than that of internal atmospheric noise. This yields specific, predictable impacts (defined as