A regional election took place in Alsace on 21 March and 28 March 2004, along with all other regions. Adrien Zeller (UMP) was re-elected President, defeating Jacques Bigot (PS).
| Candidate | Party | First round | Second round | Seats | |||
|---|---|---|---|---|---|---|---|
| Votes | % | Votes | % | ||||
| Adrien Zeller * | UMP-UDF | 225,193 | 34.06% | 299,353 | 43.56% | 27 | |
| Jacques Bigot | PS-LV | 133,038 | 20.12% | 236,709 | 34.44% | 12 | |
| Patrick Binder | FN | 122,860 | 18.58% | 151,187 | 22.00% | 8 | |
| Robert Spieler | ADA | 62,253 | 9.42% | - | - | - | |
| Antoine Waechter | MEI | 48.949 | 7.40% | - | - | - | |
| Alfred Wahl | PCF-PRG-MRC | 24,692 | 3.73% | - | - | - | |
| Patrick Merck | DIV | 23,540 | 3.56% | - | - | - | |
| Françoise Ruch | LCR-LO | 20,004 | 3.03% | - | - | - | |
| Pascale Grauss | PF | 578 | 0.09% | - | - | - | |
| Total | 661,107 | 100,00% | 687,249 | 100,00% | 47 | ||
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