As climate change intensifies and 2023 sets the record for the hottest year, the Amazonian region faces severe drought, leading to a hydroelectricity crisis. This study examines the effects of using environmentally harmful backup power solutions, which are all too common in developing countries-specifically, diesel-powered generators-on urban air quality in Quito, Ecuador, during the hydroelectric crisis of 2023/2024. The impact of the blackouts on air pollution is assessed by comparing it to a reference period before the crisis and to an earlier year with similar weather conditions. The findings indicate that extended blackouts (up to 8 h per day) considerably increased concentrations of SO2 (180%), CO (43%), NO2 (39%), and PM2.5 (20%) compared to 'normal' conditions. Conversely, O3 pollution levels decreased (-6%). Our findings suggest potential respiratory and cardiovascular health risks for the urban population, highlighting the urgent need for improved energy infrastructure and cleaner backup power solutions in the developing world. Addressing these challenges is critical for ensuring a healthier and more sustainable urban future amidst climate change projections.