This chapter addresses the question as to how Mediterranean cold-water corals might fare in the future under anthropogenically-induced global climate change. The focus on three most prominent scleractinian cold-water corals species, the two branching and habitat-forming forms Madrepora oculata, Lophelia pertusa and the solitary cup coral Desmophyllum dianthus. We provide an introduction to climate change principals, highlight the current status of the marine environment with regard to global climate change, and describe how climate change impacts such as ocean acidification are predicted to affect key calcifiers such as scleractinian cold-water corals in the Mediterranean region. A synthesis of the experimental cold-water coral studies conducted to date on climate change impacts: The present state of knowledge reviewed in this chapter takes into account the number of experiments that have been carried out in the Mediterranean as well as for comparative purposes in other parts of the world, to examine the effects of climate change on the corals. We assess the statistical robustness of these experiments and what challenges the presented experiments. A comprehensive multi-study comparison is provided in order to inform on the present state of knowledge , and knowledge gaps, in understanding the effects of global climate change on cold-water corals. Finally we describe what the fate could be for the important sclerac-tinian coral group in the Mediterranean region.