This study presents a taxonomic revision of the species of the ground beetle genus Oxytrechus Jeannel, 1927 that inhabit the superp & aacute;ramo of the Andes of Ecuador, which constitutes the uppermost zone of the tropical alpine ecosystem, above 4200 m. Sixteen species, displayed in three clades, were recorded in this environment, six of which are described as new: Oxytrechus antisanae n. sp. (Mt Antisana), O. giachinoi n. sp. (Mt Illiniza), O. hamatus n. sp. (Mt Atacazo and Pichincha), O. prunai n. sp. (Mt Guaman & iacute;), O. reflexus n. sp. (Mt Illiniza and Mt Coraz & oacute;n), and O. robbiolai n. sp. (Mt Pichincha). New distributional data are presented for O. chioriae Qu & eacute;innec & Ollivier, 2019, O. lallemandi Jeannel, 1927, O. moreti Mateu, 1988 and O. zoiai Casale & Sciaky, 1985. The first molecular phylogeny of the group, based on fragments of four mitochondrial and two nuclear genes, is given. Dichotomous identification keys are provided to the species groups and the included species. Based on systematic sampling, Oxytrechus exhibits the highest degree of microendemism among p & aacute;ramo ground beetles. No species has been found in more than two sky islands, and half of the species recorded in the superp & aacute;ramo are single-mountain endemics. As regards their conservation status, eight species (two thirds) can be classified as vulnerable or endangered, due to a mix of low abundance, narrow distribution range, microendemism, limited ecological tolerance, habitat destruction and effects of climate change.