U.S. House seat for Missouri's 4th congressional district. Representatives serve two-year terms.

17 candidates filed, 3 active for the 2026 House election in Missouri District 4. Party primary on Aug 4, 2026. General election on Nov 3, 2026.
| Year | Winner | Result | Runner-Up | Total Votes |
|---|---|---|---|---|
| 2024 | Mark Alford R | 71.1% | 365,694 | |
| 2022 | Mark Alford R | 71.3% | 255,076 | |
| 2020 | Vicky Hartzler R | 67.6% | 362,836 | |
| 2018 | Vicky Hartzler R | 64.8% | 293,316 | |
| 2016 | Vicky Hartzler R | 67.8% | 332,234 | |
| 2014 | Vicky Hartzler R | 68.1% | 176,271 | |
| 2012 | Vicky Hartzler R | 60.3% | 318,723 | |
| 2010 | Vicky Hartzler R | 50.4% | 225,056 | |
| 2008 | Ike Skelton D | 65.9% | 303,455 | |
| 2006 | Ike Skelton D | 67.6% | 235,495 | |
| 2004 | Ike Skelton D | 66.2% | 288,226 | |
| 2002 | Ike Skelton D | 67.6% | 210,238 | |
| 2000 | Ike Skelton D | 66.9% | 269,889 | |
| 1998 | Ike Skelton D | 71.0% | 187,616 | |
| 1996 | Ike Skelton D | 63.8% | 240,789 |