Increasing evidence suggests that extreme droughts cause more frequent tree growth reduction. To understand the consequences of these droughts better, this study used tree-ring cores from nine sites to investigate how moisture and altitudinal gradients affect the radial growth of Picea crassifolia Kom., a common species in the Qilian Mountains in northwest China. The total annual precipitation and mean annual temperature in the eastern region were higher than those in the western region of the Qilian Mountains. The trees in the eastern region showed stronger resistance to drought than those in the west, as they had a smaller difference in radial growth between drought disturbance and pre-drought disturbance. At the same time, the trees in the east showed weaker ability to recover from drought, as they had a subtle difference in radial growth between post-drought disturbance and drought disturbance. Furthermore, the trees in the east also showed weaker relative resilience to drought, as they had a small difference in radial growth between post-drought and drought disturbance weighted by growth in pre-drought disturbance. For trees below 3000 m a.s.l., trees with high resistance capacity usually had low recovery capacity and low relative resilience capacity. Trees at higher altitudes also showed stronger resistance to drought and weaker ability to recover from drought after a drought event than those at lower altitudes in the middle of the Qilian Mountains. Trees at lower altitudes in the middle of the Qilian Mountains had more difficulties recovering from more severe and longer drought events. In the context of global warming, trees in the western region and at lower altitudes should be given special attention and protection in forest management to enhance their resistance to extreme droughts. © 2019 by the authors.