A burst dam in the Heinsberg district 65 kilometres (40 miles) southwest of Duesseldorf overnight prompted the emergency evacuation of hundreds of residents.
In Germany's worst-hit regions of North Rhine-Westphalia and Rhineland-Palatinate, residents who fled the deluge were gradually returning to their homes and scenes of desolation.
"Within minutes, a wave was in the house," said baker Cornelia Schloesser of the torrents that arrived overnight Wednesday in the town of Schuld, carrying her century-old family business with them.
"It's all been a nightmare for 48 hours, we're going round in circles here but we can't do anything," she said, surveying the heaps of twisted metal, broken glass and wood that have piled up at her former storefront.
In some affected areas, fire-fighters, local officials and soldiers, some driving tanks, have begun the colossal work of clearing the piles of debris clogging the streets.
"The task is immense," admitted Tim Kurzbach, mayor of Solingen, a city in the south of the Ruhr area.
The real scale of the disaster is only now becoming clear, with damaged buildings being assessed, some of which will have to be demolished, and efforts under way to restore gas, electricity and telephone services.
The disruption to communication networks has complicated efforts to assess the number still missing, and most roads in the submerged Ahr Valley are out of service.
"We have to assume we will find further victims," said Carolin Weitzel, mayor of Erftstadt in North Rhine-Westphalia, which experienced a terrifying landslide triggered by the floods.
Roger Lewentz, interior minister for Rhineland-Palatinate, told local media up to 60 people were believed to be missing. More than 600 were injured.
The government has said it is working to set up a special aid fund, with the cost of damage expected to reach several billion euros (dollars).
Chancellor Angela Merkel, who returned Friday from a trip to Washington overshadowed by the disaster, vowed to provide "short and long-term support from the government" to stricken municipalities.
She has not yet travelled to the scene from the capital Berlin, but her spokesman said Friday she was in close contact with regional leaders about "a visit soon to the scene of the catastrophe".
Focus on climate change
With at least 133 dead, the devastating floods have put climate change back at the centre of Germany's election campaign ahead of a 26 September poll marking the end of Merkel's 16 years in power.
Germany "must prepare much better" in future, interior minister Horst Seehofer said, adding that "this extreme weather is a consequence of climate change".
Armin Laschet from Merkel's Christian Democratic Union, the frontrunner to succeed her after the election, spoke of "a disaster of historic proportions" for his state of North Rhine-Westphalia and for Rhineland-Palatinate.
Greens candidate Annalena Baerbock broke off her summer holiday to head to the afflicted area while the Social Democrats' flag bearer, finance minister Olaf Scholz, promised "unbureaucratic aid".
News magazine Der Spiegel said the link between global warming and extreme weather events like the massive rainfall in recent days that caused the floods would train a spotlight on the candidates' response to climate change.
"There will be affirmations in the coming days that it's not an issue for the campaign but of course it is," it said, noting the expected rising frequency of natural disasters due to the climate emergency.
"People want to know how politicians will lead them through something like this."
In neighbouring Belgium, the death toll jumped to 20 with more than 21,000 people left without electricity in one region.
Luxembourg and the Netherlands were also hammered by heavy rains, inundating many areas and forcing thousands to be evacuated in the city of Maastricht.
Luxembourg prime minister Xavier Bettel pledged an initial package of 50 million euros ($59 million) in immediate aid to citizens who suffered losses in the floods.