© 2022, The Author(s).Populations inhabiting the periphery of species distribution ranges may experience suboptimal environmental conditions and higher vulnerability to anthropogenic pressures. Disentangling the role of natural and human-related factors and the relationships among them in these marginal areas is thus key to understand and prevent species declines and range reductions. We analysed Eurasian otter (Lutra lutra) occurrence patterns in relation to anthropogenic pressures and natural environmental gradients in Morocco, an area constituting the arid limit of the species’ global range. The probability of otter occurrence was higher as terrain ruggedness increased and at intermediate elevations, and lower in catchments exposed to higher anthropogenic pressures. Otters tended to be rare at higher elevations and in areas with less annual precipitation, probably as a result of trophic resource limitations and large water flow fluctuations, respectively. A combination of natural and anthropogenic factors, both at drainage area and local scales, was needed to understand the current occurrence of the species. Our study highlights a need for urgent action to conserve the Eurasian otter in northern Africa, where freshwater ecosystems and their associated biodiversity are threatened by rapid human development in areas of marginal climatic conditions.