The 'mass extinctions' at the end of the Pleistocene were unique, both in the Pleistocene and earlier in the geological record, in that the species lost were nearly all large terrestrial mammals. Although a global phenomenon, late Pleistocene extinctions were most severe in North America, South America and Australia, and moderate in northern Eurasia (Europe plus Soviet Asia). In Africa, where nearly all of the late Pleistocene 'megafauna' survives to the present day, losses were slight. Ruling out epidemic disease or cosmic catastrophe, the contending hypotheses to explain late Pleistocene extinctions are: (a) failure to adapt to climatic/environmental change; and (b) extermination by human hunters ('prehistoric overkill'). This review focuses on extinctions in northern Eurasia (mainly Europe) in comparison with North America. In addition to reviewing the faunal evidence, the highly relevant environmental and archaeological backgrounds are summarized. The latest survival dates of extinct species are estimated from stratigraphic occurrences of fossil remains, radiocarbon dates, or association with archaeological industries. The Middle and Upper Pleistocene (ca. 700,000-10,000 BP) in northern Eurasia and North America was a time of constantly changing climate, ranging from phases of extensive glaciation in cold stages, to temperate periods (interglacials). In the Lateglacial (ca. 15,000-10,000 BP), during which most extinctions occurred, there was a major reorganization of vegetation, mainly involving the replacement of open vegetation by forests. These changes were more profound than earlier in the Last Cold Stage, but similar in nature to vegetational changes that took place at previous cold stage/interglacial transitions. The archaeological record shows that humans have been present in Europe since the early Middle Pleistocene. The arrival in Europe ca. 35,000 BP of 'anatomically modern humans', with their technologically more advanced upper palaeolithic industries, was a 'quantum leap' in human history. Extinctions occurred throughout the European Pleistocene, but until the late Pleistocene most losses were replaced by the evolution or immigration of new species, and most of those lost without replacement were small mammals. In marked contrast, extinctions without replacement in the late Pleistocene were almost entirely confined to the largest mammals (greater than 1000 kg) and some medium-large species (100-1000 kg).(ABSTRACT TRUNCATED AT 400 WORDS)