In Multi-Effect Distillation with Thermal Vapor Compression (MED-TVC) plants, fixed steam ejectors are usually designed for constant motive steam pressures. When these distillation units are integrated into Concentrating Solar Power (CSP) plants, the available motive steam pressure is normally lower than the design value (due to the partial load operation of the power cycle under different solar radiation conditions), being the efficiency of the steam ejectors drastically reduced. Also, it has a negative impact on the fresh water production from the desalination plant because of a decrease in the mass flow of the motive steam. All this can be avoided by using variable nozzle steam ejectors, which can adjust the mass flow rate of steam according to the variable pressure so that they are always operating with the maximum efficiency and therefore they can maintain the freshwater production of the desalination plant near to the nominal value. This work presents a study of the coupling between CSP plants and MED-TVC units using variable nozzle steam ejectors in a wide range of operating conditions (on and off-design). For this purpose, simulations of a Rankine cycle power block in a typical commercial CSP plant have been firstly performed at different thermal loads to investigate the operational limits that allow keeping the motive steam mass flow rates constant. Then, the efficiency and fresh water production of an MED-TVC unit coupled to the different extractions available at the CSP plant have been studied in a wide range of operating conditions, covering both nominal and partial loads. To this end, an operational model of the MED-TVC unit has been developed based on a design model previously published by the authors. (C) 2017 Elsevier Ltd. All rights reserved.