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Abstract Coral reefs near high human population areas suffer from sedimentation and increased turbidity due to coastal development. However, there is limited research on how key species respond to turbidity caused by terrigenous sediment and how this response may change with increased water temperatures. This study investigated the effects of ambient and elevated turbidity (+ 26 NTU) in combination with ambient (27.1 °C) and elevated temperature (+ 4.1 °C; 31.2 °C) on the dominant Hawaiian reef coralMontipora capitata, collected from two Kāneʻohe Bay watersheds with distinct environmental histories. Using intermittent flow respirometry, we found that acute (12 h) exposure to elevated turbidity and temperature impacted algal symbionts (Symbiodinium spp.) but not the coral host, suggesting a potential delayed host physiological response. Corals from south Kāneʻohe Bay, where restricted water circulation and urbanization have degraded water quality, were more sensitive to stressors than those from the less-impacted northern sites, indicating that physiological responses vary by location and may be influenced by watershed conditions. The findings suggest that while short-term turbidity and warming impactSymbiodinium spp.immediately, prolonged exposure may lead to cascading effects on the coral host. Understanding these species-specific and location-dependent responses enhances our ability to guide restoration and conservation efforts for coral ecosystems facing both local (turbidity) and global (warming) stressors.