Mediterranean climate regions (hereafter ‘Med-regions’) cover small areas globally but harbour a wide diversity of ecosystems that are under serious threat due to current global climate change. Despite intensive research and conservation efforts in freshwater, marine and terrestrial ecosystems to prevent the consequences of habitat fragmentation, overfishing and changes in fire regimes and heatwaves, there is still no global consensus on how to conserve and manage Med-region ecosystems. We define integrative research as an interdisciplinary approach with common concepts and metrics enabling a better understanding of the general mechanisms underlying ecosystems. Building upon existing literature that promotes integrative research in Med-region ecosystems, we advocate for a more integrative approach that takes into consideration cross-ecosystem generalities and common resilience mechanisms. We propose examples of potential studies for implementing such integrative research, including: (1) integrative research across ecosystems; (2) integrative research across Med-regions; and (3) integrative research across political boundaries. We then offer recommendations for promoting integrative studies, including leveraging biodiversity data, establishing working groups in research syntheses and testing theoretical frameworks. Promoting integrative research in Med-regions would enable and facilitate the roadmap towards a better understanding of Med-region ecosystems’ responses to natural and anthropogenic disturbances and the identification of ecological baselines. We seek to foster future research synergies to identify tipping points across ecosystems and aid in determining desired future conditions in Med-regions globally.