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Climate change (CC) causes extreme meteorological events such as floods, droughts, water scarcity, heat waves, wildfires, and extreme cold. CC may also damage public infrastructures such as drinking water systems (DWSs) and reduce water quality from source to tap. The objective of this review paper is to provide a critical analysis of (1) the impact of CC on the three components of the DWSs: source, treatment, and distribution; (2) the perspectives of DWS employees on CC impacts and adaptation solutions for maintaining water quality; and (3) decision support systems (DSSs) that could be used by DWS employees for CC adaptation. A bibliographic research was conducted using international databases and search engines. The search for scientific articles resulted in the selection of 5234 articles, 78 of which were analyzed in more detail for the elaboration of this scoping review. This review shows that the impacts of CC on water quality are significant, but DWS employees are not enthusiastic about developing adaption measures. This review also shows that DSSs can help DWS employees facilitate the CC adaptation process for the protection of source water, improve water treatment plant operations, and enhance routine management of water quality in the distribution system. Further research is needed to identify strategies that might increase the awareness of and interest in climate change impacts, adaptation, and the use of DSSs among DWS employees. [ABSTRACT FROM AUTHOR]