Elections were held in Middlesex County, Ontario on October 25, 2010 in conjunction with municipal elections across the province.

Middlesex County Council County Council consists of the mayors of each municipality plus the deputy mayors of the municipalities over 5,000 people.

PositionElectedAdelaide Metcalfe Mayor David BoltonLucan Biddulph Mayor Paul HodginsMiddlesex Centre Mayor Al Edmondson Middlesex Centre Deputy Mayor Clare Bloomfield Newbury Reeve Diane BrewerNorth Middlesex Mayor Don Shipway North Middlesex Deputy Mayor Chuck T. W. HallSouthwest 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

Adelaide-Metcalfe Mayoral Candidate Vote % David Bolton Acclaimed

Lucan Biddulph 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

Middlesex Centre Mayoral Candidate Vote % Al Edmondson (X) 2,877 Albert F. Bannister 2,072

North Middlesex Mayoral Candidate Vote % Don Shipway 1,116 Cheryl Norman 849 Ian Brebner 519

Southwest Middlesex Mayoral Candidate Vote %Doug Reycraft (X) Acclaimed

Strathroy-Caradoc Mayoral Candidate Vote % Joanne Vanderheyden 5,807 Harold Timson 914 John M. Harvard 245

Thames Centre Mayoral Candidate Vote % Jim Maudsley (X) Acclaimed

Newbury Reeve Candidate Vote %Diane Brewer (X) Acclaimed