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Compound flooding, such as the co-occurrence of fluvial floods and extreme coastal water levels (CWL), may lead to significant impacts in densely-populated Low Elevation Coastal Zones. They may overstrain disaster management owing to the co-occurrence of inundation from rivers and the sea. Recent studies are limited by analyzing joint dependence between river discharge and either CWL or storm surges, and little is known about return levels of compound flooding, accounting for the covariance between drivers. Here, we assess the compound flood severity and identify hotspots for northwestern Europe during 1970-2014, using a newly developed Compound Hazard Ratio (CHR) that compares the severity of compound flooding associated with extreme CWL with the unconditional T-year fluvial peak discharge. We show that extreme CWL and stronger storms greatly amplify fluvial flood hazards. Our results, based on frequency analyses of observational records during 2013/2014's winter storm Xaver, reveal that the river discharge of the 50-year compound flood is up to 70% larger, conditioned on the occurrence of extreme CWL, than that of the at-site peak discharge. For this event, nearly half of the stream gauges show increased flood hazards, demonstrating the importance of including the compounding effect of extreme CWL in river flood risk management.