The Swedish People's Party and the Christian Democrats retained all of their seats that they had won in the previous elections.

Sipilä's government retained a majority in the Parliament as the Blue Reform continued as a member of the coalition and the Finns Party was moved to the opposition.

According to Sipilä, his government collapsed because of the failure to reach agreement on the controversial health care reform.

[10] After the Oulu child sexual exploitation scandal, support for the anti-immigration Finns Party surged from around 9% in late 2018 to 17.5% by the election.

[11] The election saw "an unusual level of aggression on the campaign trail",[12] especially considering "attacks on politicians are rare in Finland".

[13] In late March, a man struck Left Alliance candidate Suldaan Said Ahmed in the chest while calling him an infidel and pedophile[14] a day after a man wearing logos of far-right anti-immigrant group Soldiers of Odin attempted to attack Foreign Minister Timo Soini of the Blue Party.

[13] The 200 members of the Eduskunta were elected using proportional representation in 13 multi-member constituencies, with seats allocated according to the D'Hondt method.

[18] Two weeks later, SDP chairman Antti Rinne, who was expected to lead the government, sent a questionnaire to each of the other parties, to assess their positions on various topics such as basic income, collective bargaining, climate change or health care reform.