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

12 candidates filed, 3 active for the 2026 House election in Tennessee District 4. Party primary on Aug 6, 2026. General election on Nov 3, 2026.
| Year | Winner | Result | Runner-Up | Total Votes |
|---|---|---|---|---|
| 2024 | Scott Desjarlais R | 70.0% | 313,255 | |
| 2022 | Scott Desjarlais R | 70.6% | 173,437 | |
| 2020 | Scott Desjarlais R | 66.7% | 335,710 | |
| 2018 | Scott Desjarlais R | 63.4% | 232,444 | |
| 2016 | Scott Desjarlais R | 65.0% | 254,937 | |
| 2014 | Scott Des Jarlais R | 58.3% | 145,418 | |
| 2012 | Scott Desjarlais R | 55.8% | 230,590 | |
| 2010 | Scott Desjarlais R | 57.1% | 182,191 | |
| 2008 | Lincoln Davis D | 58.8% | 249,805 | |
| 2006 | Lincoln Davis D | 66.4% | 186,115 | |
| 2004 | Lincoln Davis D | 54.8% | 252,646 | |
| 2002 | Lincoln Davis D | 52.1% | 184,250 | |
| 2000 | Van Hilleary R | 65.8% | 203,205 | |
| 1998 | Van Hilleary R | 59.6% | 105,456 | |
| 1996 | Van Hilleary R | 57.9% | 178,058 |