The interaction between waves, surges, and astronomical tides can lead to high coastal total water level (TWL), which can in turn trigger coastal flooding. Here, a high-resolution (1.5 km) simulation from a UK-focused regional coupled environmental prediction system is used to investigate the extreme events of winter 2013/4 around the UK and Irish coasts. The aim is to analyse the spatial distribution of coastal TWL and its components during this period by assessing (1) the relative contribution of different TWL components around the coast; (2) how extreme waves, surges, and tide interacted and if they occurred simultaneously; and (3) if this has implications in defining the severity of coastal hazard conditions. The TWL components' coastal distribution in winter 2013/4 was not constant in space, impacting differently over different regions. High (>90th percentile) waves and high surges occurred simultaneously at any tidal stage, including high tide (7.7 % of cases), but more often over the flood tide. During periods of high flood risk, a hazard proxy, defined as the sum of the sea surface height and half the significant wave height, at least doubled from average over three-quarters of the coast. These results have important implications for the risk management sector.