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Cave systems are a kind of natural laboratory for interdisciplinary research on karstogenesis in the context of global changes. In this study, we investigate the concentration of ²²²Rn at 65 points in 37 representative caves of Bulgarian karst through continuous monitoring with passive and active detectors with a duration of 1 to 13 years. The concentration changes strongly both in the long term and seasonally, with values from 0.1 to 13 kBq m⁻³. These variations are analyzed from different perspectives (location and morphological features of the cave system, cave climate, ventilation regime, etc.). The seasonal change in the direction and intensity of ventilation is a leading factor determining the gas composition of the cave atmosphere during the year. Parallel measurements of ²²²Rn and CO₂ concentrations in the cave air show that both gases have a similar seasonal fluctuation. Cases of coincidences of an anomalous increase in the concentration of ²²²Rn with manifestations of seismic activity and micro-displacements along tectonic cracks in the caves have also been registered. The dependencies between the ²²²Rn concentration in the caves and in the soil above them are also discussed, as well as the possible connections between global trends in climate change and trends in ²²²Rn emissions. Special attention is paid to the risks of radiation exposure in show caves. A calculation procedure has been developed to achieve the realistic assessment of the effective dose of cave guides. It is based on information about the annual course of the ²²²Rn concentration in the respective cave and the time schedule of the guides’ stay in it. The calculation showed that the effective dose may exceed the permitted limits, and it is thus necessary to control it. Full article