This document presents the findings of the Arcadis Sustainable Cities Water Index, which assesses how 50 global cities manage their water resources across issues of resiliency, efficiency, and quality. The index finds that European cities generally perform best, with Rotterdam, Copenhagen, and Amsterdam in the top three spots. Toronto, Washington DC, and New York show strong performances from North America. Asian cities lag behind, with Singapore, Seoul, Tokyo, and Hong Kong highest. Dubai leads the Middle East. Sydney and Melbourne score well for Australia. Latin American cities rank in the bottom half. Johannesburg and Nairobi perform relatively well for Africa. Overall, greater investment is needed worldwide in water infrastructure to improve resili