In the 2018 election, the Pakistan Tehreek-e-Insaf (PTI) won a landslide victory in the province by securing a two-thirds majority in the Khyber Pakhtunkhwa Assembly.

[5][6] Before the 2018 elections, Jamiat Ulema-e-Islam (F) (JUI-F) and Jamaat-e-Islami (JI) restored their electoral alliance, the Muttahida Majlis-e-Amal, to counter the PTI's support but failed to make gains and in fact lost even more seats.

[7][8] The Pashtun nationalist and leftist Awami National Party (ANP) also failed to counter the PTI, but slightly increased their share of seats.

[9] On 26 June 2022, the PTI flipped the PK-7 Swat-VI constituency in a by-election, winning by a margin of 4,341 votes and defeated the ANP, which enjoyed the support of the Pakistan Democratic Movement (PDM), particularly the JUI(F) and PML(N).

[10] On 17 January 2023, Chief Minister Khan sent a letter to Governor Haji Ghulam Ali, advising him to dissolve the Provincial Assembly.

[11][12] After two days of talks, on 20 January 2023, the government and opposition agreed on appointing Muhammad Azam Khan, a former bureaucrat, as the caretaker Chief Minister.

[14] On 1 March 2023, in a 3-2 split verdict, the Supreme Court ruled that since Governor Ali had dissolved the Assembly, he was "in breach of his constitutional duty" by not appointing an election date and should immediately do so, after consultation with the ECP.

[20][21] In July, 52 former MPAs of the PTI signed a letter to the ECP seeking a "level-playing field" and alleging that the caretaker cabinet "consists almost exclusively of nominees from parties of Pakistan Democratic Movement and their allies like PPP and ANP".

On 30 December 2023, the ECP filed a review application within the PHC, and days later, a two-member bench withdrew the suspension order as it heard the case.

[24] The by-elections for PK-22 and PK-91 constituencies, which were postponed due to an ISIS-K assassination and an unexpected heart failure, respectively, were announced by the ECP on 14 March and took place on 21 April 2024.

% After Elections all PTI backed Independents except Ali Amin Khan Gandapur joined Sunni Ittehad Council as per party policy.