We modeled historical and future stream fish distributions using a suite of environmental covariates derived from high-resolution hydrologic and climatic modeling of the basin. We quantified variation in outcomes for individual species across climate scenarios and across space, and identified hotspots of species loss by summing changes in probability of occurrence across species. Under all climate scenarios, we find that the distribution of most fish species in the Red River Basin will contract by 2050. However, the variability across climate scenarios was more than 10 times higher for some species than for others. Despite this uncertainty in outcomes for individual species, hotspots of species loss tended to occur in the same portions of the basin across all climate scenarios. We also find that the most common species are projected to experience the greatest range contractions, underscoring the need for directing conservation resources towards both common and rare species. Our results suggest that while it may be difficult to predict which species will be most impacted by climate change, it may nevertheless be possible to identify spatial priorities for climate mitigation actions that are robust to future climate uncertainty. These findings are likely to be generalizable to other ecosystems around the world where future climate conditions follow prevailing historical patterns of key environmental covariates.