The Long-Rains wet season of March–May (MAM) over Kenya in 2018 was one of the wettest on record. This paper examines the nature, causes, impacts, and predictability of the rainfall events, and considers the implications for flood risk management. The exceptionally high monthly rainfall totals in March and April resulted from several multi-day heavy rainfall episodes, rather than from distinct extreme daily events. Three intra-seasonal rainfall events in particular resulted in extensive flooding with the loss of lives and livelihoods, a significant displacement of people, major disruption to essential services, and damage to infrastructure. The rainfall events appear to be associated with the combined effects of active Madden–Julian Oscillation (MJO) events in MJO phases 2–4, and at shorter timescales, tropical cyclone events over the southwest Indian Ocean. These combine to drive an anomalous westerly low-level circulation over Kenya and the surrounding region, which likely leads to moisture convergence and enhanced convection. We assessed how predictable such events over a range of forecast lead times. Long-lead seasonal forecast products for MAM 2018 showed little indication of an enhanced likelihood of heavy rain over most of Kenya, which is consistent with the low predictability of MAM Long-Rains at seasonal lead times. At shorter lead times of a few weeks, the seasonal and extended-range forecasts provided a clear signal of extreme rainfall, which is likely associated with skill in MJO prediction. Short lead weather forecasts from multiple models also highlighted enhanced risk. The flood response actions during the MAM 2018 events are reviewed. Implications of our results for forecasting and flood preparedness systems include: (i) Potential exists for the integration of sub-seasonal and short-term weather prediction to support flood risk management and preparedness action in Kenya, notwithstanding the particular challenge of forecasting at small scales. (ii) We suggest that forecasting agencies provide greater clarity on the difference in potentially useful forecast lead times between the two wet seasons in Kenya and East Africa. For the MAM Long-Rains, the utility of sub-seasonal to short-term forecasts should be emphasized; while at seasonal timescales, skill is currently low, and there is the challenge of exploiting new research identifying the primary drivers of variability. In contrast, greater seasonal predictability of the Short-Rains in the October–December season means that greater potential exists for early warning and preparedness over longer lead times. (iii) There is a need for well-developed and functional forecast-based action systems for heavy rain and flood risk management in Kenya, especially with the relatively short windows for anticipatory action during MAM.