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Linking sinuosity, a fairly recently developed metric, with high temperature extremes (HTEs) can be both useful and insightful to better understand the physical mechanisms behind HTEs. However, it is not clear whether there exists a relationship between the sinuosity changes and HTE changes in present and future climate conditions over southeastern China. In this paper, the anomalous characteristics of the atmospheric circulation are quantified by sinuosity. Three sinuosity metrics are used in this study: individual sinuosity (SIN), aggregate sinuosity (ASIN), and comprehensive sinuosity (CSIN). Furthermore, we examine the relationship between sinuosity changes and HTE changes in present and future climate conditions. ASIN is strongly correlated with surface air temperature (SAT). We find that the influence of individual sinuosity (SIN) at different latitudes on the SAT of southeastern China is different. The SIN of low (middle) latitude isohypses has significant positive (negative) correlations with the SAT of southeastern China. The SIN of high-latitude isohypses is rather limited and can therefore be ignored. The projected relationship between the sinuosity changes and HTE changes in the late 21st century suggests similar results. The change in SAT is related to the changes in climate variables over southeastern China in the future, and these changes increase with the increase in Z500 or V850 and the decrease in U500. Moreover, the frequencies of large (small) comprehensive sinuosity (CSIN) values at low (mid) latitudes will increase. At the end of the 21st century, Z500 isohypses at different latitudes will have an obvious poleward shift. Our results indicate that measuring the aggregate waviness of the midtropospheric flow (via sinuosity) can provide insight regarding HTEs, and the climate model output can be used to examine the future likelihood of increased HTE. [ABSTRACT FROM AUTHOR]