This microenvironmental measurement study assessed temporal trends in outdoor RF-EMF exposure between 2016 and 2023 in the Netherlands, Switzerland, Belgium, and Spain using harmonized walking-route measurements with exposimeters. The authors report no significant change in mobile base station (downlink) exposure between 2016 and 2023 and no consistent trend across microenvironments or countries. Reported median downlink exposure values ranged from 0.11 mW/m² (Switzerland, 2023) to 0.62 mW/m² (Netherlands, 2018).