NA-238 Karachi East-IV () is a newly created a constituency for the National Assembly of Pakistan. It mainly comprises the areas of Jamshed Quarters Subdivision, and Firozabad Subdivision that were previously in the western portion of the old NA-252.
General elections were held on 25 July 2018.
A by-election was held on 21 August 2022 due to the death of Aamir Liaquat Hussain, the former MNA from this seat.
General elections were held on 8 February 2024. Sadiq Iftikhar won the election with 54,885 votes.