Mass mortality events (MMEs) are decimating populations and compromising key ecosystem functions around the globe. One taxon particularly vulnerable to MMEs is freshwater bivalve mollusks. This group has important ecosystem engineering capacities and includes highly threatened and highly invasive taxa. Thus, MMEs of freshwater bivalves have important implications for conservation and ecosystems. Despite this, little is known about the magnitude, frequency, duration, distribution, and causes of freshwater bivalve MMEs. Using a questionnaire, we compiled data from 239 reports describing freshwater bivalve MMEs across 22 European countries since 1960. With these data, we analyzed trends in MME timing, location, and magnitude; identified the species affected; and evaluated the suggested causes (including reporter certainty). We found that the frequency of reports of MMEs increased each year, MMEs affected a broad range of species, clear geographical patterns linking certain causes to specific locations were lacking, factors related to drying and habitat destruction predominated suggested causes, and considerable uncertainty surrounded the causes of many MMEs, particularly those associated with potential pollutants and disease agents. Based on our findings, we recommend the standardization of many aspects of MME research (e.g., reporting and recovery assessment protocols), increased surveying for MMEs, further investigation into the causes of MMEs, especially those with significant uncertainty, and immediate actions to improve waterbody management, mitigate the effects of high temperatures, and further protect freshwater bivalves through the development and implementation of appropriate management actions and legislation.