Climate change is modifying river temperature regimes across the world. To apply management interventions in an effective and efficient fashion, it is critical to both understand the underlying processes causing stream warming and identify the streams most and least sensitive to environmental change. Empirical stream thermal sensitivity, def ined as the change in water temperature with a single degree change in air temperature, is a useful tool to characterize historical stream temperature conditions and to predict how streams might respond to future climate warming. We measured air and stream temperature across the Snoqualmie and Wenatchee basins, Washington, during the hydrologic years 2015–2021. We used ordinary least squares regression to calculate seasonal summary metrics of thermal sensitivity and time-varying coefficient models to derive continuous estimates of thermal sensitivity for each site. We then applied classification approaches to determine unique thermal sensitivity regimes and, further, to establish a link between environmental covariates and thermal sensitivity regimes. We found a diversity of thermal sensitivity responses across our basins that differed in both timing and magnitude of sensitivity. We also found that covariates describing underlying geology and snowmelt were the most important in differentiating clusters. Our findings and our approach can be used to inform strategies for river basin restoration and conservation in the context of climate change, such as identifying climateinsensitive areas of the basin that should be preserved and protected.