The present invention provides a thermosensitive recording medium having a high degree of water resistance and excellent surface qualities. The thermosensitive recording medium has a thermosensitive recording layer comprising a colorless or pale colored basic leuco dye and an electron accepting developing agent on a substrate, but does not have a protective layer on the thermosensitive recording layer, and the thermosensitive recording layer further comprises (i) a carboxy-modified polyvinyl alcohol as a binder, (ii) an epichlorohydrin resin and a modified polyamine/amide resin (excluding those contained in the category of epichlorohydrin resin) as crosslinking agents, and (iii) an acrylic resin with a glass transition temperature (Tg) of lower than or equal to 50 degree C. and a minimum film forming temperature (MFT) of higher than or equal to 40 degree C.