Many rural communities across the United States face persistent challenges in accessing safe, affordable, and reliable water and sanitation. Climate change is worsening these already serious challenges. This report brings a rural focus to our previous report, Achieving Equitable, Climate-Resilient Water and Sanitation for Frontline Communities: Water, Sanitation, and Climate Change in the United States. It provides strategies and real-world examples of equitable, climate-resilient rural water and sanitation. In doing so, it highlights the unique characteristics, challenges, and opportunities of rural communities.