The glaciers of the Himalayas are the source of all of Asia’s major rivers and are crucial to Asia’s water supply, economies, and livelihoods. The Himalayan region is uniquely vulnerable to the impacts of anthropogenic climate change, while also becoming one of the most dammed regions in the world. This case study explores the unequal distribution of the impacts of climate change and dam building along the Brahmaputra River in Northeast India. It examines how the combined impacts of these two processes negatively affect local communities and explores environmental and climate justice issues. In discussing climate change impacts and hydropower development in Northeast India, this case study presents questions on the role of dams as a solution to climate change and as a form of sustainable development.