The implications of anthropogenic climate change, human activities and land use change (LUC) on the environment and ecosystem services in the coastal regions of Saudi Arabia were analyzed. Earth observations data was used to drive land use categories between 1970 and 2014. Next, a Markov-CA model was developed to characterize the dynamic of LUC between 2014 and 2100 and their impacts on regions' climate and environment. Non-parametric change point and trend detection algorithms were applied to temperature, precipitation and greenhouse gases data to investigate the presence of anthropogenic climate change. Lastly, climate models were used to project future climate change between 2014 and 2100. The analysis of LUC revealed that between 1970 and 2014, built up areas experienced the greatest growth during the study period, leading to a significant monotonic trend. Urban areas increased by 2349.61km2 between 1970 and 2014, an average increase of >53.4km2/yr. The projected LUC between 2014 and 2100 indicate a continued increase in urban areas and irrigated cropland. Human alteration of land use from natural vegetation and forests to other uses after 1970, resulted in a loss, degradation, and fragmentation, all of which usually have devastating effects on the biodiversity of the region. Resulting in a statistically significant change point in temperature anomaly after 1968 with a warming trend of 0.24°C/decade and a downward trend in precipitation anomaly of 12.2mm/decade. Total greenhouse gas emissions including all anthropogenic sources showed a statistically significant positive trend of 78,090Kt/decade after 1991. This is reflected in the future projection of temperature anomaly between 1900 and 2100 with a future warming trend of 0.19°C/decade. In conclusion, human activities, industrial revelation, deforestation, land use transformation and increase in greenhouse gases had significant implications on the environment and ecosystem services of the study area.