The lumbriculid Rhynchelmis subgenus Sutroa Eisen, 1888 new rank is defined for a group of Nearctic species having multiple diverticula originating at the spermathecal ducts and eversible penial bulbs. Characters are confirmed in specimens of the type species, Rhynchelmis (Sutroa) rostrata (Eisen, 1888), collected from the type locality. Rhynchelmis (Sutroa) klamathensis Fend n. sp. is described from open water benthic habitats in Upper Klamath Lake, Oregon, USA. It resembles other R. (Sutroa) species in the paired spermathecal diverticula, the spermathecal and penial bulbs, the histological structure of the atria, the nonfunctional anterior male funnels, and the arrangement of blood vessels. Rhynchelmis klamathensis differs from all Nearctic Rhynchelmis in lacking a filiform proboscis. The combination of large body size, the elongate spermathecal ducts with paired and usually unbranched diverticula, the highly contorted atria, and the complex male pores with conical penes also distinguish typical R. klamathensis from other Rhynchelmis species. Smaller specimens with otherwise similar morphology, from the Sacramento River Delta, California, are also assigned to this species. Rhynchelmis (Sutroa) diespluviae Fend n. sp. is described from several stream sites, mostly in northern Idaho, USA. Rhynchelmis diespluviae differs from closely related species in morphology of the conical penes, and in the structure and anterolateral position of the paired spermathecae.