The elective dignity of Holy Roman emperor was restricted to males only, but some empresses, such as Theophanu and Maria Theresa, were de facto rulers of the Empire.
Before 924, the title of emperor was not always associated with the German kingdom; rather, it was initially associated with the Carolingian dynasty, and then possessed by several other figures of the 9th and 10th centuries.
Their wives were thus empresses, but not necessarily German queens.
With the elevation of Otto I of Germany in 962 to the Imperial title, the title of Roman King or Emperor became inalienably associated with the Kingdom of Germany - although a King of Germany might not bear the title of Emperor, it would be impossible to become a Holy Roman Emperor without being King of Germany first.
The women in the following sections were all Queens of Germany as well as Holy Roman Empresses.