Elections were held in Middlesex County, Ontario on October 25, 2010 in conjunction with municipal elections across the province.
County Council consists of the mayors of each municipality plus the deputy mayors of the municipalities over 5,000 people.
| Position | Elected |
|---|---|
| Adelaide Metcalfe Mayor | David Bolton |
| Lucan Biddulph Mayor | Paul Hodgins |
| Middlesex Centre Mayor | Al Edmondson |
| Middlesex Centre Deputy Mayor | Clare Bloomfield |
| Newbury Reeve | Diane Brewer |
| North Middlesex Mayor | Don Shipway |
| North Middlesex Deputy Mayor | Chuck T. W. Hall |
| Southwest Middlesex Mayor | Doug Reycraft |
| Southwest Middlesex Deputy Mayor | Vance E. Blackmore |
| Strathroy Caradoc Mayor | Joanne Vanderheyden |
| Strathroy Caradoc Deputy Mayor | Brad Richards |
| Thames Centre Mayor | Jim Maudsley |
| Thames Centre Deputy Mayor | Marcel Meyer |
| Mayoral Candidate [ permanent dead link ] | Vote | % |
|---|---|---|
| David Bolton | Acclaimed | |
| Mayoral Candidate | Vote | % |
|---|---|---|
| Paul Hodgins | 774 | 54.8 |
| Perry Caskanette | 235 | 16.6 |
| Linda C. Patterson | 216 | 15.3 |
| Clifford J. Waters | 187 | 13.3 |
| Mayoral Candidate | Vote | % |
|---|---|---|
| Al Edmondson (X) | 2,877 | |
| Albert F. Bannister | 2,072 |
| Mayoral Candidate [ permanent dead link ] | Vote | % |
|---|---|---|
| Don Shipway | 1,116 | |
| Cheryl Norman | 849 | |
| Ian Brebner | 519 |
| Mayoral Candidate | Vote | % |
|---|---|---|
| Doug Reycraft (X) | Acclaimed | |
| Mayoral Candidate | Vote | % |
|---|---|---|
| Joanne Vanderheyden | 5,807 | |
| Harold Timson | 914 | |
| John M. Harvard | 245 |
| Mayoral Candidate | Vote | % |
|---|---|---|
| Jim Maudsley (X) | Acclaimed | |
| Reeve Candidate | Vote | % |
|---|---|---|
| Diane Brewer (X) | Acclaimed | |