The high plant diversity of mediterranean-climate regions has attracte
d much attention over the past few years. This review discusses patter
ns and determinants of local, differential and regional plant diversit
y in all five regions. Local diversity shows great variation within an
d between regions and explanations for these patterns invoke a wide ra
nge of hypotheses. Patterns of regional diversity are the result of di
fferential speciation and extinction rates during the Quaternary. Thes
e rates have been influenced more by the incidence of fire and the sev
erity of climate change than by environmental heterogeneity. All regio
ns have a high number of rare and locally endemic taxa that survive as
small populations, many of which are threatened by habitat transforma
tion.