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Lakes and associated hydrological processes are sensitive indicators of environmental change and climate variability. Variations in lake water level and storage reflect the combined effects of atmospheric forcing (precipitation, evaporation, and temperature regime) and anthropogenic interventions, including irrigation, drainage, and hydraulic infrastructure development. Continuous monitoring of lake level dynamics is therefore essential for water resources management, evaluation of regional climate impacts, and assessment of environmental risks in arid and semi-arid regions.Central Asia has experienced pronounced hydrological transformations over recent decades as a result of climate warming, altered precipitation patterns, and intensified human water use. These changes are manifested in contrasting lake responses, ranging from the dramatic desiccation of the Aral Sea to the expansion of endorheic water bodies receiving anthropogenic inflows. Lake Sarikamish, one of the largest lowland lakes in the region, is located along the Uzbekistan–Turkmenistan border near the escarpment of the Ustyurt Plateau and represents a key example of such coupled natural–human system dynamics.This study investigates water level variability of Lake Sarikamish over the period 2001–2024 using satellite altimetry observations from the Global Reservoirs and Lakes Monitor (G-REALM) database. The dataset, provided at a 10-day temporal resolution in NetCDF format, was processed to construct a continuous long-term time series. Short data gaps were filled using linear interpolation, a method previously shown to yield robust performance for altimetric lake level records. Descriptive statistics and trend analyses were applied to quantify intra-annual variability, interannual fluctuations, and long-term tendencies.The minimum lake level during the observation period was recorded in February 2002 (4.23 m), while the maximum level occurred in April 2018 (8.84 m). The time series exhibits substantial interannual variability, with a standard deviation of 0.91 m. Four distinct phases of lake level evolution were identified: (i) a rapid increase during 2001–2007 at a rate of +0.56 m yr⁻¹, (ii) a short-term decline in 2008–2009 (−0.60 m yr⁻¹), (iii) a prolonged period of moderate increase during 2010–2020 (+0.15 m yr⁻¹), and (iv) a renewed decrease during 2021–2024 (−0.36 m yr⁻¹). Despite the recent downward trend, the overall period is characterized by a net positive trend of +0.16 m yr⁻¹.The observed post-2020 decline suggests an increasing influence of regional climate change, particularly rising air temperatures and reduced effective precipitation. Continued water level lowering may have negative consequences for local ecosystems, biodiversity, and environmental stability. The results highlight the value of satellite altimetry for long-term lake monitoring and emphasize the need for integrated assessments of climatic and anthropogenic drivers of lake hydrological change in Central Asia.