This is a list of the winning and nominated programs of the Primetime Emmy Award for Outstanding Original Main Title Theme Music. In the 1980s and early 1990s, the award was presented with the "possibility of one, more than one, or no award given," resulting in several years where there were nominees without a winner.
In the following list, the first titles listed in gold are the winners; those not in gold are nominees, which are listed in alphabetical order. The years given are those in which the ceremonies took place: