The Akarçay is the most important stream in the Afyonkarahisar region in central Turkey. In this study, the relationships between epipelic diatoms, macrophytes, and the water quality of Akarçay Stream are presented. According to Canonical Correspondence Analysis (CCA), BOD5, COD, TDS, NH4-N, NO2-N, and PO4-P had the most significant effects on the diatom and macrophyte community structures of the stream. According to CCA and Correspondence Analysis (CA), dominant diatom species and macrophytes constituted two groups, eutrophic and polluted. While eutraphentic taxa were abundant among upstream diatoms, hypereutraphentic taxa were found downstream in the Akarçay. The diatom assemblages in the sites upstream were generally characterized by an abundance of β-mesosaprobous and α-mesosaprobous species, while the diatom assemblages downstream had a very high abundance of