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Italy and the surrounding seas are recognised as one of the European hotspots for tornadoes and waterspouts. In recent years, the town of Rosignano Solvay (on the Northern Tyrrhenian coast) experienced repeated waterspouts affecting the same areas, raising local concern about the possible influence of heated wastewater discharged into the sea by a nearby industrial site. We reconstruct the mesoscale meteorological conditions of four intense waterspouts near Rosignano Solvay using a limited-area weather model at a high-to-very-high resolution (inner domain grid spacing of 500 m; sensitivity tests at 100 m). At the reported event times, the intensity of key mesoscale precursors (low-level wind shear, 1 km storm-relative helicity, maximum updraft intensity, and lifting condensation level) is consistent with the values typically associated with EF1 (or stronger) tornadoes and waterspouts. The model systematically predicts the peak of instability indices 2–3 h earlier than the reported event times. For one case study, we conduct two sea surface temperature sensitivity experiments to assess the potential atmospheric impact of heated wastewater discharge (temperature increases of +1.5 K and +5 K over a 10 km2 area). The resulting changes in instability indices are marginal, with differences of at most 3% relative to the control run. A simple mass-balance estimate for the modified sea patch suggests that, given the reported discharge rates, a plausible impact of the warm water released from the industrial site could lead to an increase in the local sea surface temperature of approximately +0.7 °C over two months. We conclude that synoptic and mesoscale conditions primarily govern waterspout initiation in this region, while the direct effect of the small warm coastal plume from the industrial discharge appears to be minor.