Elections were held in Middlesex County, Ontario on October 24, 2022, in conjunction with municipal elections across the province.
Middlesex County Council consists of the mayors of each municipality (except Newbury) plus the deputy mayors of the municipalities with over 5,000 electors.
Susan Clarke was elected mayor of Adelaide Metcalfe by acclamation.
The following were the results mayor of Lucan Biddulph. Mayor Cathy Burghardt-Jesson was challenged by political newcomer Allan Cunningham.
The following were the results for mayor and deputy mayor of Middlesex Centre.
The following were the results for mayor and deputy mayor of North Middlesex.
The following were the results for mayor and deputy mayor of Southwest Middlesex.
The following were the results for mayor and deputy mayor of Strathroy-Caradoc.
The following were the results for mayor and deputy mayor of Thames Centre.