Macrophytes are an important component of aquatic ecosystems and are used widely within the Water Framework Directive (WFD) to establish ecological quality. In the present paper we investigated macrophyte community structure, i.e., composition, richness and diversity measures in 60 unimpacted stream and river sites throughout Europe. The objectives were to describe assemblage patterns in different types of streams and to assess the variability in various structural and ecological metrics within these types to provide a basis for an evaluation of their suitability in ecological quality assessment. Macrophyte assemblage patterns varied considerably among the main stream types. Moving from small-sized, shallow mountain streams to medium-sized, lowland streams there was a clear transition in species richness, diversity and community structure. There was especially a shift from a predominance of species-poor mosses and communities dominated by liverwort in the small-sized, shallow mountain streams to more species-rich communities dominated by vascular plants in the medium-sized, lowland streams. The macrophyte communities responded to most of the features underlying the typological framework defined in WFD. The present interpretation of the WFD typology may not, however, be adequate for an evaluation of stream quality based on macrophytes. First and most important, by using this typology we may overlook an important community type, which is characteristic of small-sized, relatively steep-gradient streams that are an intermediate type between the small-sized, shallow mountain streams and the medium-sized, lowland streams. Second, the variability in most of the calculated metrics was slightly higher when using the pre-defined typology. The consistency of these results should be investigated by analysing a larger number of sites. Particularly the need of re-defining the typology to improve the ability to detect impacts on streams and rivers from macrophyte assemblage patterns should be investigated.