Quantum error mitigation (QEM) is essential for extracting reliable results from near-term quantum devices, yet practical deployments must balance mitigation strength against runtime overhead under time-varying noise. We introduce \emph{GSC-QEMit}, a telemetry-driven, \textbf{context--forecast--bandit} framework for \emph{adaptive} mitigation that switches between lightweight suppression and heavier intervention as drift evolves. GSC-QEMit composes three coupled modules: (G) a Growing Hierarchical Self-Organizing Map (GHSOM) that clusters streaming telemetry into operating contexts; (S) an uncertainty-aware subsampled Gaussian-process forecaster that predicts short-horizon fidelity degradation; and (C) a cost-aware contextual multi-armed bandit (CMAB) that selects mitigation actions via Thompson sampling with explicit intervention cost. We evaluate GSC-QEMit on benchmark circuit families (GHZ, Quantum Fourier Transform, and Grover search) under nonstationary noise regimes simulated in Qiskit Aer, using an instrumented testbed where action labels correspond to graded mitigation intensity. Across Clifford, non-Clifford, and structured workloads, GSC-QEMit improves average logical fidelity by \textbf{+9.0\%} relative to unmitigated execution while reducing unnecessary heavy interventions by reserving them for inferred noise spikes. The resulting policies exhibit a favorable fidelity--cost trade-off and transfer across the evaluated workloads without circuit-specific tuning.

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