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In the boreal spring of 2023, an extreme coastal El Niño struck the coastal regions of Peru and Ecuador, causing devastating rainfalls, flooding, and record dengue outbreaks. Observations and ocean model experiments reveal that northerly alongshore winds and westerly wind anomalies in the eastern equatorial Pacific, initially associated with a record-strong Madden-Julian Oscillation and cyclonic disturbance off Peru in March, drove the coastal warming through suppressed coastal upwelling and downwelling Kelvin waves. Atmospheric model simulations indicate that the coastal warming in turn favors the observed wind anomalies over the far eastern tropical Pacific by triggering atmospheric deep convection. This implies a positive feedback between the coastal warming and the winds, which further amplifies the coastal warming. In May, the seasonal background cooling precludes deep convection and the coastal Bjerknes feedback, leading to the weakening of the coastal El Niño. This coastal El Niño is rare but predictable at 1 month lead, which is useful to protect lives and properties.