Mediterranean climate-type regions (MCRs) are characterised by warm-to-hot dry summers and mild-wet winters. These regions are typically found on the western or southern edges of continents, for example, in the Mediterranean Basin, the west coast of North and South America, southern Africa and southwest Australia. The MCRs are vulnerable to climate variability and change related to their unique characteristics, such as pronounced rainfall seasonality and prolonged hot and dry summers. Based on historical observations and CMIP6 climate projections, we apply an empirical bio-climatic assessment of how the geographic distribution of MCRs has changed during the last century and how these zones will be further impacted under continued warming. Results indicate a poleward and eastward expansion of MCRs in the Mediterranean Basin, North America-California and South America-Central Chile regions. For parts of Southern Africa and Southern Australia, a retreat of the MCR margins and an expansion of more arid climate zones are projected. These shifts are particularly profound according to high emission and radiative forcing pathways and future scenarios. The warming in MCRs is projected to accelerate (e.g., mean regional warming of up to 5.5°C under a 4°C global warming scenario), and precipitation will decrease by about 5%–10% for every additional degree of global warming. One exception is the California MCR, where rainfall will likely increase. Such changes can challenge water resources, food security and other aspects of human livelihood and ecosystems in these unique geographical zones.