Here, we show that human METTL2A/B forms a complex with the DALRD3 protein to catalyze the formation of m3C in specific arginine tRNAs. Our findings explain how METTL2A/B recognizes particular arginine tRNAs for m3C modification through the unique tRNA interaction specificity of DALRD3 protein. Notably, we have identified human individuals with autosomal-recessive nonsense mutations in the DALRD3 gene who lack m3C in their arginine tRNAs. These individuals exhibit a disorder characterized by severe developmental delay and early-onset epileptic encephalopathy, thereby linking the m3C modification in mammalian arginine tRNAs with proper neurological function.