Here, we present a high resolution marine El Ni¿o flood record from Peru. A period of extreme drought without strong flooding occurred from A.D. 800--1250. Anomalous precipitation patterns characterized the entire Indo-Pacific ENSO domain, with dry events in the northern Arabian Sea and the mid-latitudes of both Americas, coinciding with wet periods in the Atlantic Cariaco Basin. The occurrence of contemporaneous moisture anomalies in other archives in the ENSO region highlights the role of El Ni¿o strength in global climate evolution during the late Medieval period when temperature reconstructions show a rather heterogeneous pattern.