Urban Heat Islands (UHIs) and their associated microclimatic variability significantly impact hydrological patterns, necessitating the accurate quantification of these effects for effective urban water resource management. This study synthesises research from the early 2000s to 2025 on the complex interactions between urban microclimates and hydrology, focusing on precipitation patterns, runoff, evapotranspiration, and water quality in UHI. The research examines various methodologies employed to study these interactions, including observational research, modelling approaches, and advanced technologies such as remote sensing and machine learning. While certain methods prove effective for specific aspects of UHI hydrology, their performance varies across urban contexts and climates. Machine learning techniques have shown promise in capturing microclimatic nuances, but challenges persist in data integration and model generalisation. This review makes a distinct contribution to literature by bringing together recent research with an introduction to the novel Hydrological Urban Heat Island (HUHI) framework. It extends beyond conventional UHI research by explicitly accounting for the interconnection between thermal-hydrological processes, which leads to a novel and integrated understanding of urban water systems. We also propose a novel methodology for related studies with a strategic application of remote sensing proxies, a unified classification technique for enhanced transferability between models, and a critical transition from correlation to causal inference. It is a comprehensive strategy in which the goal is to overcome present difficulties associated with reducing urban water hazards and support more efficient and cost-effective climate-resilient planning.
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