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Summer 2010 saw two simultaneous extremes linked by an atmospheric wave train: a record-breaking heatwave in Russia and severe floods in Pakistan. Here, we study this wave event using a large ensemble climate model experiment. First, we show that the circulation in 2010 reflected a recurrent wave train connecting the heatwave and flooding events. Second, we show that the occurrence of the wave train is favored by three drivers: (1) 2010 sea surface temperature anomalies increase the probability of this wave train by a factor 2-to-4 relative to the model’s climatology, (2) early-summer soil moisture deficit in Russia not only increases the probability of local heatwaves, but also enhances rainfall extremes over Pakistan by forcing an atmospheric wave response, and (3) high-latitude land warming favors wave-train occurrence and therefore rainfall and heat extremes. These findings highlight the complexity and synergistic interactions between different drivers, reconciling some seemingly contradictory results from previous studies.