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Background: Heat and drought stresses usually occur together in nature, and both are expected to increase in frequency and intensity as a result of climate change. The synergistic impacts of these compound climate extremes on potatoes are far from the effects of individual stresses. However, the dynamics of the effects of combined heat and drought stresses on potato physiology and biochemistry have yet to be thoroughly assessed. To elucidate this point, we set up a pot experiment using 'Atlantic' potato seedlings as test material. A total of six treatments were set up: CK (normal growth conditions: 21 ℃, 0 PEG), A1B1 (31 ℃, 20% PEG), A1B2 (31 ℃, 10% PEG), A1B3 (31 ℃, 0 PEG), A2B1 (21 ℃, 20% PEG), and A2B2 (21 ℃, 10% PEG), and 15 physiological indices were determined with the stress time of 0, 6, 12 and 18 days. Results: After 18 days of stress, the phenotype of potato seedlings was significantly different. Compared with CK, the thickness of potato leaves and palisade tissue increased under heat and drought stress, and the combined stress reduced the photosynthetic efficiency of potato leaves. In all treatments except CK, the chlorophyll content decreased significantly, the antioxidant enzyme activity increased first and then decreased, and the relative conductivity and malondialdehyde content increased significantly. The heat and combined treatment made the content of the osmotic regulator first increase and then decrease, while the treatment of 21 ℃ had no significant change. According to the correlation, principal component and interaction analysis, both heat and drought treatment had significant effects on each index, and the longer the stress time, the greater the effect, and the effect of combined stress was greater than that of single stress. However, after 6 days of stress, the activity of antioxidant enzymes and the content of transparent regulatory substances increased. Conclusions: In conclusion, potato can cope with heat, drought and combined stress by adjusting leaf tissue structure, antioxidant enzyme activity and osmotic regulatory substances in a short time. [ABSTRACT FROM AUTHOR]