At the 2015 general election, the seat was gained by Stephen Gethins of the Scottish National Party (SNP).

At the 2019 general election, Wendy Chamberlain defeated Gethins to regain the seat for the Liberal Democrats, making it the SNP's only loss that year.

2024–present: Under the 2023 review of Westminster constituencies which came into effect for the 2024 general election, the constituency contains the following wards of Fife Council:[2][3] As a result of the boundary review, Kennoway, Windygates and rest of Leven were transferred from Glenrothes (renamed Glenrothes and Mid Fife).

[11] When measured by absolute majority, North East Fife was the second most marginal Lib Dem-held seat at the election (after Caithness, Sutherland and Easter Ross).

[12] North East Fife was the most marginal result in the country at the 2017 general election, with incumbent SNP MP Stephen Gethins seeing his majority cut from 4,344 votes (9.6%) to 2 votes (0.004%) ahead of the Liberal Democrat candidate, Elizabeth Riches.