The incumbent speaker, Democrat Nancy Pelosi, was elected to a 4th (2nd consecutive) term, defeating Republican Kevin McCarthy 216–209, with two votes going to other individuals.

[1] Traditionally, each party's caucus or conference selects a candidate for the speakership from among its senior leaders prior to the roll call.

If no candidate wins a majority of the "votes cast for a person by name," then the roll call is repeated until a speaker is elected.

[4] Upon winning election the new speaker is immediately sworn in by the Dean of the United States House of Representatives, the chamber's longest-serving member.

[a][12] Nancy Pelosi received a narrow majority of the 427 votes cast and was re-elected speaker; 3 people answered present when their names were called.

[13] Representatives absent were Democrat Alcee Hastings and Republicans Maria Elvira Salazar and David Valadao.