There is a growing need to improve and expand water quality monitoring approaches to more accurately track the sources, fate, and transport of multiple chemicals and pollutants holistically and quantify the effects of best management practices (BMPs) at the watershed scale. An overarching question raised by scientists, environmental managers, and the general public is: how far can water quality impacts from disturbances or benefits from watershed management and restoration propagate along stream and river flowpaths? Many studies using the classic watershed approach focus on analyzing changes in water quality over time at one or a few sampling stations, whereas theories such as the River Continuum Concept focus on predicting shifts in energy sources and biological communities along rivers but have not been directly applied to water quality. We propose to merge these concepts to create a Watershed Continuum Monitoring Approach (WCMA) that combines both spatial and temporal monitoring in order to better detect and quantify trends and transitions in multiple water quality indicators along flowpaths. Specifically, an array of multiple water quality indicators are analyzed at multiple downstream points along a watershed flowpath over time. These multiple water quality indicators are analyzed together for making comparisons to infer hydrological, biological, and geochemical processes controlling sources, transport, and attenuation of pollutants (e.g., analagous to stream tracer studies at the watershed scale). The WCMA leverages the natural expansion of watershed areas along a flowpath, which reflect transitions in land use, land cover, and environmental management across spatial and temporal dimensions for making direct comparisons across different stream reaches and spatial trend analysis. WCMA facilitates monitoring of multiple water quality indicators together, and identifcation of hot spots in sources and attenuation of pollutants or mixtures of pollutants. We illustrate practical applications of the WCMA to analyze water quality trends, transitions, and tradeoffs (i.e., a tradeoff occurs when one pollutant is reduced but another is directly or indirectly increased downstream). We explore case studies that quantify: (1) downstream reductions in concentrations of multiple pollutants along a stream flowing to a major drinking water source due to engineered and nature-based solutions, (2) downstream reductions in multiple pollutants and water quality tradeoffs along streams experiencing stormwater BMPs and stream restoration, (3) comparisons in downstream reductions of multiple pollutants and nutrient uptake along streams draining into major drinking water sources based on types of stream restoration, (4) comparisons of downstream pollutant reductions along streams experiencing riparian forest conservation vs. stream restoration, and (5) mapping and visualizing hot spots of increasing water quality problems such as hypoxia, contaminant mobilization, and freshwater salinization that extend downstream to tidal rivers of the Chesapeake Bay. We explore future applications of WCMA for tracking decreasing trends in salinity, E. coli, and other pollutants of emerging concern. WCMA can holistically inform progress towards achieving multiple water quality goals and also be used as a screening tool for selecting monitoring sites and targeting management in strategic locations. Overall, WCMA enables the simultaneous quantification and comparison of sources and transport and attenuation rates for different chemicals and pollutants across a broader range of watershed sizes and flowpath lengths, which is critical for understanding ecological, hydrological, geochemical, and biogeochemical processes along human-impacted streams and rivers.