Climate-related extremes are becoming more frequent, severe, and impactful, with projections indicating devastating consequences for societies. Addressing these challenges requires a nuanced understanding of how climate change influences migration decisions and patterns, which is critical for site-specific actions such as planned relocation, capacity building, and livelihood diversification. This study examines flood and drought patterns across selected districts in Malawi’s Northern, Central, and Southern regions using Standardized Precipitation Evapotranspiration Indices (SPEI-1 and SPEI-6) derived from precipitation and temperature data. Household interviews were conducted to study perceptions and willingness to migrate in response to climate-related adversities. Findings reveal significant regional variations in willingness to migrate, with respondents in southern districts showing higher willingness to migrate due to increased hazard frequency, intensity, and impact. This suggests that such climatic stressors play a role in shaping migration decisions. Statistical analysis further highlights the influence of factors including economic status, household preparedness, availability and adequacy of assistance during previous disasters, the presence and effectiveness of Disaster Risk Management (DRM) structures, and demographic characteristics such as age and household size. These findings underscore the importance of aligning policies to address climate-induced migration challenges, focusing on disaster preparedness, socioeconomic resilience, and effective DRM structures. By understanding the interplay between climatic hazards and migration decisions, this study provides actionable insights for targeted policy interventions to manage the risks and opportunities of climate-induced migration.