The invention discloses a multifunctional door and window hinge. The hinge has the advantages that the hinge is simple in structure, fast and convenient to mount, three-dimensionally adjustable during mounting, good in universality and applicable to doors and windows with various opening manners, hidden mounting of the door and window hinge is achieved, space saving is facilitated, and optional stop after a window sash is opened in the a 0-90 degrees range can be achieved; various door and window opening functions such as inner flat opening, outer flat opening, inner flat opening lower suspension and outer flat opening upper suspension can be achieved by connecting and matching the hinge with traditional components such as hardware fitting, a handle, an oblique pull rod, a driver, a drive rod, a rotary angle, a locking point and a latch, various door and window opening manners can be achieved, different application requirements of people can be satisfied, and many defects in the prior art of door and window industries can be overcome.