Atmospheric CO(2) concentrations are predicted to double within the next century and alter climate regimes, yet the extent that these changes will affect plant diseases remains unclear. In this study conducted over five years, we assessed how elevated CO(2) and interannual climatic variability affect Cercospora leaf spot diseases of two deciduous trees. Climatic data varied considerably between the five years and altered disease expression. Disease incidence and severity for both species were greater in years with above average rainfall. In years with above average temperatures, disease incidence for Liquidambar styraciflua was decreased significantly. When significant changes did occur, disease incidence and severity always increased under elevated CO(2). Chlorophyll fluorescence imaging of leaves revealed that any visible increase in disease severity induced by elevated CO(2) was mitigated by higher photosynthetic efficiency in the remaining undamaged leaf tissue and in a halo surrounding lesions.