As the main global terrestrial ecosystem component, grasslands are extremely sensitive to global climate change. With increasing human activities over the last century, grassland ecosystems have been degraded to different degrees. However, the evolution of lake-grassland ecosystems in recent centuries remains unclear due to the dearth of high-resolution records. Here, we present high-resolution lacustrine sediment grain size, pollen (Artemisia, Myriophyllum), Pediastrum, and n-alkane records from Ganggeng Nur Lake to investigate vegetation, lake evolution, and human effects in semiarid northern China. Four stages were identified from the last ca. 150 years: (1) the natural evolution stage (AD 1870–1945), in which there was a wet climate around Ganggeng Nur and the lake level rose from increased runoff; (2) the human disturbance stage (AD 1945–1967), in which the regional climate got drier and human activities began having a detectable effect on the grassland ecosystem; (3) the human transformation stage (AD 1967–2005), in which a completely arid climate coupled with the implementation of a series of land reclamation policies resulted in a large reduction in grassland areas, extensive soil erosion, exacerbated climate change, and shrinking lake areas; and (4) the posttreatment stage (AD 2005–2018), in which soil erosion was alleviated by policy implementation and a favorable humid climate.