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This paper studies the influence of temperature and of rainfall intensity and the effect of such variations on the treatment efficiencies and on the electrical consumptions in seven medium-large size Wastewater Treatment Plants (WWTPs) in Apulia in South Italy (Bari, Barletta, Brindisi, Lecce, Foggia, Andria and Taranto). It has been observed, in the considered WWTPs, a slight but clear increase of the incoming flow due to the increase in rainfall intensity, which results to an increase of the energy consumption per incoming volume. The impact of the climate change to the incoming flow, during the last five years (2016–2020), has been assessed indicating that an increase in rainfall intensity results to an increase of the WWTPs energy consumptions per wastewater treated volume. More specifically, for a specific WWTP (Lecce) it was found that the electrical consumption increases from 0.36 kw/m3 to 0.51 kw/m3 when the rainfall intensity was increased from 0.8 mm/min to 2.9 mm/min. Some adaption measures have been considered to upgrade the existing WWTP so to mitigate the energy increase and to limit the global effects of climate change. [Display omitted] • As Rain intensity rises, wastewater influx into WWTPs increases. • Rainfall intensity influences negatively electrical consumptions. • BOD removal is lower with increasing annual precipitations. • Temperature influences BOD, COD and SST removal efficiency. [ABSTRACT FROM AUTHOR]