Current levels of global warming (Haustein et al. 2017) have already intensified heatwaves, droughts and floods, with many recent events exhibiting evidence of being exacerbated by anthropogenic climate change (e.g., Herring et al. 2018, 2016). Recent improvements in understanding demonstrate that half a degree of additional warming will have further severe impacts (Masson-Delmotte et al. 2018). In the context of this rapid and damaging change, there is a clear need to quantify and address both the losses and damages from impacts we have not adapted to today, as well as to adapt to those that will emerge in the next few decades. To do this, it is essential to understand the impacts of man-made climate change on the scales that climate adaptation decisions are made. Drivers of disasters, ultimately responsible for much loss and damage, are unfolding in an ever-changing socio-economic context, which also alters exposure and vulnerability. While various case studies exist (discussed below), there is to date no comprehensive or comparable database quantifying anthropogenic contributions to climate change loss and damage. We suggest that this needs to change.