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Extreme rainfall events are thought to be one of the major threats of climate change given an increase of water vapor available in the atmosphere. However, before projecting future changes in extreme rainfall events, it is mandatory to know current patterns. In this study we explore extreme daily rainfall events along central-southern Chile with emphasis in their spatial distribution and concurrent synoptic-scale circulation. Surface rain gauges and reanalysis products from the Climate Forecast System Reanalysis are employed to unravel the dependency between extreme rainfall and horizontal water vapor fluxes. Results indicate that extreme rainfall events can occur everywhere, from the subtropical to extratropical latitudes, but their frequency increases where terrain has higher altitude, especially over the Andes Mountains. The majority of these events concentrate in austral winter, last a single day, and encompass a north-south band of about 200 km in length. Composited synoptic analyses identified extreme rainfall cases dominated by northwesterly (NW) and westerly (W) moisture fluxes. Some features of the NW group include a 300-hPa trough projecting from the extratropics to subtropics, a surface-level depression, and cyclonic winds at 850 hPa along the coast associated with integrated water vapor (IWV) > 30 mm. Conversely, features in the W group include both a very weak 300-hPa trough and surface depression, as well as coastal westerly winds associated with IWV > 30 mm. About half of extreme daily rainfall is associated with an atmospheric river. Extreme rainfall observed in W (NW) cases has a strong orographic (synoptic) forcing. In addition, W cases are, on average, warmer than NW cases, leading to an amplified hydrological response.