A design for a photovoltaic-thermal (PVT) assembly with a water-cooled heat sink was planned, constructed, and experimentally evaluated in the climatic conditions of the southern region of Iraq during the summertime. The water-cooled heat sink was applied to thermally manage the PV cells, in order to boost the electrical output of the PVT system. A set of temperature sensors was installed to monitor the water intake, exit, and cell temperatures. The climatic parameters including the wind velocity, atmospheric pressure, and solar irradiation were also monitored on a daily basis. The effects of solar irradiation on the average PV temperature, electrical power, and overall electrical-thermal efficiency were investigated. The findings indicate that the PV temperature would increase from 65 to 73 °C, when the solar irradiation increases from 500 to 960 W/m2, with and without cooling, respectively. Meanwhile, the output power increased from 35 to 55 W when the solar irradiation increased from 500 to 960 W/m2 during the daytime. The impact of varying the mass flow rate of cooling water in the range of 4 to 16 L/min was also examined, and it was found that the cell temperature declines as the water flow increases in intensity throughout the daytime. The maximum cell temperature recorded for PV modules without cooling was in the middle of the day. The lowest cell temperature was also recorded in the middle of the day for a PVT solar system with 16 L/min of cooling water.