| State | Head of state | Spouse | Image |
|---|
 Afghanistan | President Ashraf Ghani | Rula Ghani |  |
 Albania | President Ilir Meta | Monika Kryemadhi |  |
 Algeria | President Abdelmadjid Tebboune | Married | |
 Andorra | Co-Prince Joan Enric Vives Sicília | Celibate | N/A |
| Co-Prince Emmanuel Macron | Brigitte Macron |  |
| Representative of the Episcopal Co-Prince Josep Maria Mauri | Celibate | N/A |
| Representative of the French Co-Prince Patrick Strzoda | | |
 Angola | President João Lourenço | Ana Dias Lourenço | |
 Antigua and Barbuda | Queen Elizabeth II | Prince Philip, Duke of Edinburgh |  |
| Governor-General Rodney Williams | | |
 Argentina | President Alberto Fernández | Fabiola Yáñez |  |
 Armenia | President Armen Sarkissian | Nouneh Sarkissian |  |
 Australia | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General David Hurley | | |
 Austria | President Alexander Van der Bellen | Doris Schmidauer |  |
 Azerbaijan | President Ilham Aliyev | Mehriban Aliyeva |  |
 Bahamas | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Cornelius A. Smith | Married | |
 Bahrain | King Hamad bin Isa Al Khalifa | Sabika bint Ibrahim Al Khalifa | |
 Bangladesh | President Abdul Hamid | Rashida Hamid | |
 Barbados | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Sandra Mason | Married | |
 Belarus | President Alexander Lukashenko | Galina Lukashenko | |
 Belgium | King Philippe | Queen Mathilde |  |
 Belize | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Colville Young | | |
 Benin | President Patrice Talon | |  |
 Bhutan | King Jigme Khesar Namgyel Wangchuck | Queen Jetsun Pema |  |
 Bolivia | Interim President Jeanine Áñez | | |
 Bosnia and Herzegovina | Presidency : Milorad Dodik (Chairman ) | | |
| Šefik Džaferović (Member ) | | |
| Željko Komšić (Member ) | | |
 Botswana | President Mokgweetsi Masisi | Neo Masisi |  |
 Brazil | President Jair Bolsonaro | Michelle Bolsonaro |  |
 Brunei | Sultan Hassanal Bolkiah | Queen Saleha |  |
 Bulgaria | President Rumen Radev | Desislava Radeva |  |
 Burkina Faso | President Roch Marc Christian Kaboré | Sika Bella Kaboré |  |
 Burundi | President Pierre Nkurunziza | Denise Nkurunziza |  |
 Cambodia | King Norodom Sihamoni | Unmarried | N/A |
 Cameroon | President Paul Biya | Chantal Biya |  |
 Canada | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Julie Payette | Divorced. Formerly François Brissette (div. 1999) | N/A |
| Divorced. Formerly William Flynn (div. 2015) | N/A |
 Cape Verde | President Jorge Carlos Fonseca | Lígia Fonseca |  |
 Central African Republic | President Faustin-Archange Touadéra | | |
| |
 Chad | President Idriss Déby | Hinda Déby Itno |  |
 Chile | President Sebastián Piñera | Cecilia Morel |  |
 China | General Secretary Xi Jinping | Peng Liyuan |  |
| President Xi Jinping |
 Colombia | President Iván Duque Marquez | María Juliana Ruiz |  |
 Comoros | President Azali Assoumani | | |
 Republic of the Congo | President Denis Sassou Nguesso | Antoinette Sassou Nguesso |  |
 Democratic Republic of the Congo | President Félix Tshisekedi | |  |
 Costa Rica | President Carlos Alvarado Quesada | Claudia Dobles Camargo |  |
 Ivory Coast | President Alassane Ouattara | Dominique Folloroux-Ouattara |  |
 Croatia | President Zoran Milanović | | |
 Cuba | First Secretary Raúl Castro | Vilma Espín (d. 2007) | |
| President Miguel Díaz-Canel | | |
 Cyprus | President Nicos Anastasiades | | |
 Czech Republic | President Miloš Zeman | Ivana Zemanová |  |
 Denmark | Queen Margrethe II | Widowed, previously Henrik, Prince Consort of Denmark |  |
 Djibouti | President Ismaïl Omar Guelleh | Kadra Mahamoud Haid | |
 Dominica | President Charles Savarin | | |
 Dominican Republic | President Danilo Medina | Cándida Montilla de Medina |  |
 East Timor | President Francisco Guterres | |  |
 Ecuador | President Lenín Moreno | Rocio Gonzalez |  |
 Egypt | President Abdel Fattah el-Sisi | Entissar Amer |  |
 El Salvador | President Nayib Bukele | Gabriela Rodríguez de Bukele |  |
 Equatorial Guinea | President Teodoro Obiang Nguema Mbasogo | Constancia Mangue |  |
 Eritrea | President Isaias Afewerki | | |
 Estonia | President Kersti Kaljulaid | Georgi-Rene Maksimovski |  |
 Ethiopia | President Sahle-Work Zewde | | |
 Fiji | President George Konrote | |  |
 Finland | President Sauli Niinistö | Jenni Haukio |  |
 France | President Emmanuel Macron | Brigitte Macron |  |
 Gabon | President Ali Bongo Ondimba | Sylvia Bongo Ondimba |  |
 Gambia | President Adama Barrow | | |
| |
 Georgia | President Salome Zourabichvili | Widow. Formerly (d. 2012) | |
 Germany | President Frank-Walter Steinmeier | Elke Büdenbender |  |
 Ghana | President Nana Akufo-Addo | Rebecca Akufo-Addo | |
 Greece | President Prokopis Pavlopoulos | | |
 Grenada | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Cécile La Grenade | Unmarried | N/A |
 Guatemala | President Jimmy Morales | Patricia Marroquín |  |
 Guinea | President Alpha Condé | Djene Kaba Condé |  |
 Guinea-Bissau | President José Mário Vaz | |  |
 Guyana | President Irfaan Ali | | |
 Haiti | President Jovenel Moïse | |  |
 Holy See | Sovereign Francis | Celibate | N/A |
 Honduras | President Juan Orlando Hernández | Ana García Carías |  |
 Hungary | President János Áder | | |
 Iceland | President Guðni Th. Jóhannesson | Eliza Reid | |
 India | President Ram Nath Kovind | Savita Kovind |  |
 Indonesia | President Joko Widodo | Iriana Joko Widodo |  |
 Iran | Supreme Leader Ali Khamenei | Mansoureh Khojaste Bagherzadeh | |
| President Hassan Rouhani | Sahebeh Rouhani |  |
 Iraq | President Barham Salih | | |
 Ireland | President Michael D. Higgins | Sabina Higgins |  |
 Israel | President Reuven Rivlin | Widower. Formerly Nechama Rivlin (d. 2019) | N/A |
 Italy | President Sergio Mattarella | Widower. Formerly (d. 2012) | N/A |
 Jamaica | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Patrick Allen | | |
 Japan | Emperor Naruhito | Empress Masako |  |
 Jordan | King Abdullah II | Queen Rania |  |
 Kazakhstan | President Kassym-Jomart Tokayev | Nadezhda Tokayeva | |
 Kenya | President Uhuru Kenyatta | Margaret Kenyatta |  |
 Kiribati | President Taneti Mamau | | |
 Kuwait | Emir Sabah Al-Ahmad Al-Jaber Al-Sabah | Widower. Formerly (d. 1990) | N/A |
 Kyrgyzstan | Vacant | | |
 Laos | General Secretary Bounnhang Vorachith | | |
| President Bounnhang Vorachith |
 Latvia | President Raimonds Vējonis | | |
 Lebanon | President Michel Aoun | | |
 Lesotho | King Letsie III | Karabo Motšoeneng |  |
 Liberia | President George Weah | | |
 Libya | Chairman of Presidential Council Fayez al-Sarraj | Married | |
 Liechtenstein | Prince Hans-Adam II | Princess Marie |  |
| Hereditary Prince | |  |
 Lithuania | President Gitanas Nausėda | Diana Nausėdienė | |
 Luxembourg | Grand Duke Henri | Grand Duchess Maria Teresa |  |
 Madagascar | President Andry Rajoelina | Mialy Rajoelina | |
 Malawi | President Peter Mutharika | Gertrude Maseko |  |
 Malaysia | Yang di-Pertuan Agong Abdullah of Pahang | Raja Permaisuri Agong Tunku Azizah Aminah Maimunah Iskandariah | |
 Maldives | President Abdulla Yameen | | |
 Mali | President Vacant | Vacant | |
 Malta | President George Vella | | |
 Marshall Islands | President Hilda Heine | | |
 Mauritania | President Mohamed Ould Abdel Aziz | |  |
 Mauritius | President Prithvirajsing Roopun | Married | |
 Mexico | President Andrés Manuel López Obrador | Beatriz Gutiérrez Müller |  |
 Micronesia | President David W. Panuelo | | |
 Moldova | President Igor Dodon | Galina Dodon | |
 Monaco | Prince Albert II | Princess Charlene |  |
 Mongolia | President Khaltmaagiin Battulga | | |
 Montenegro | President Milo Đukanović | | |
 Morocco | King Mohammed VI | Princess Salma Bennani |  |
 Mozambique | President Filipe Nyusi | Isaura Nyusi |  |
 Myanmar | President Win Myint | Cho Cho | |
 Namibia | President Hage Geingob | Monica Geingos |  |
 Nauru | President Lionel Aingimea | | |
 Nepal | President Bidhya Devi Bhandari | Widow. Formerly Madan Bhandari (d. 1993) | N/A |
 Netherlands | King Willem-Alexander | Queen Máxima |  |
 New Zealand | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Patsy Reddy | David Gascoigne |  |
 Nicaragua | President Daniel Ortega | Rosario Murillo |  |
 Niger | President Mahamadou Issoufou | Aïssata Issoufou Mahamadou |  |
| Dr. Lalla Malika Issoufou |  |
 Nigeria | President Muhammadu Buhari | Aisha Buhari |  |
 North Korea | Chairman of the Workers' Party of Korea Kim Jong-un | Ri Sol-ju |  |
| President of the Presidium of the Supreme People's Assembly Choe Ryong-hae | | |
 North Macedonia | President Stevo Pendarovski | | |
 Norway | King Harald V | Queen Sonja |  |
 Oman | Haitham bin Tariq Al Said | | N/A |
 Pakistan | President Arif Alvi | Samina Alvi | |
 Palau | President Tommy Remengesau | |  |
 Palestine | President Mahmoud Abbas | | |
 Panama | President Laurentino Cortizo | Yazmín Colón de Cortizo | |
 Papua New Guinea | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Bob Dadae | | |
 Paraguay | President Mario Abdo Benítez | Silvana Moreira |  |
 Peru | President Martín Vizcarra | Maribel Díaz Cabello |  |
 Philippines | President Rodrigo Duterte | Honeylet Avanceña |  |
 Poland | President Andrzej Duda | Agata Kornhauser-Duda |  |
 Portugal | President Marcelo Rebelo de Sousa | Separated. (sep. 1980) | N/A |
 Qatar | Emir Sheikh Tamim bin Hamad Al Thani | Sheikha | |
 Romania | President Klaus Iohannis | Carmen Iohannis | |
 Russia | President Vladimir Putin | Divorced. Formerly Lyudmila Putina (div. 2014) | N/A |
 Rwanda | President Paul Kagame | Jeannette Kagame |  |
 Saint Kitts and Nevis | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Tapley Seaton | | |
 Saint Lucia | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Neville Cenac | | |
 Saint Vincent and the Grenadines | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Frederick Ballantyne | | |
 Samoa | O le Ao o le Malo Va'aletoa Sualauvi II | | |
 San Marino | Captain Regent Luca Boschi | | |
| Captain Regent Mariella Mularoni | | |
 São Tomé and Príncipe | President Evaristo Carvalho | Married | |
 Saudi Arabia | King Salman | | |
| Widower. Formerly (d. 2011) | |
| Divorced. | |
 Senegal | President Macky Sall | Marieme Faye Sall |  |
 Serbia | President Aleksandar Vučić | Tamara Vučić | |
 Seychelles | President Danny Faure | Divorced. Formerly (div. 2016) | N/A |
 Sierra Leone | President Julius Maada Bio | Fatima Maada Bio | N/A |
 Singapore | President Halimah Yacob | | |
 Slovakia | President Zuzana Čaputová | Divorced. (formerly) | |
 Slovenia | President Borut Pahor | Tanja Pečar |  |
 Solomon Islands | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General David Vunagi | Celibate | |
 Somalia | President Mohamed Abdullahi Mohamed | | |
 South Africa | President Cyril Ramaphosa | Tshepo Motsepe | |
 South Korea | President Moon Jae-in | Kim Jung-sook |  |
 South Sudan | President Salva Kiir Mayardit | | |
 Spain | King Felipe VI | Queen Letizia |  |
 Sri Lanka | President Maithripala Sirisena | |  |
 Sudan | Chairman of the Sovereignty Council Abdel Fattah al-Burhan | | |
 Suriname | President Chan Santokhi | | |
 Swaziland | King Mswati III | Inkhosikati LaMatsebula | |
| Inkhosikati LaMotsa | |
| Inkhosikati LaMbikiza |  |
| Inkhosikati LaNgangaza | |
| Inkhosikati LaHwala | |
| Inkhosikati LaMagwaza | |
| Inkhosikati LaMasango | |
| Inkhosikati LaGija | |
| Inkhosikati LaMagongo | |
| Inkhosikati LaMahlangu | |
| Inkhosikati LaNtentesa | |
| Inkhosikati LaDube | |
| Inkhosikati LaNkambule | |
| Inkhosikati LaFogiyane |  |
 Sweden | King Carl XVI Gustaf | Queen Silvia |  |
 Switzerland | President Ueli Maurer | | |
 Syria | President Bashar al-Assad | Asma al-Assad |  |
 Tajikistan | President Emomali Rahmon | Azizmo Asadullayeva |  |
 Tanzania | President John Magufuli | Janeth Magufuli | |
 Thailand | King Maha Vajiralongkorn | Divorced. Formerly Srirasmi Suwadee (div. 2014) | N/A |
 Togo | President Faure Gnassingbé | | |
 Tonga | King Tupou VI | Nanasipauʻu Tukuʻaho |  |
 Trinidad and Tobago | President Paula-Mae Weekes | Unmarried | N/A |
 Tunisia | President Kais Saied | | |
 Turkey | President Recep Tayyip Erdoğan | Emine Erdoğan |  |
 Turkmenistan | President Gurbanguly Berdimuhamedow | | |
 Tuvalu | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
| Governor-General Iakoba Italeli | | |
 Uganda | President Yoweri Museveni | Janet Museveni |  |
 Ukraine | President Petro Poroshenko | Olena Zelenska |  |
 United Arab Emirates | President Khalifa bin Zayed Al Nahyan | Shamsa bint Suhail Al Mazrouei | |
 United Kingdom | Queen Elizabeth II | Prince Philip, Duke of Edinburgh | |
 United States | President Donald Trump | Melania Trump |  |
 Uruguay | President Tabaré Vázquez | Widower. Formerly María Auxiliadora Delgado (d. 2019) |  |
 Uzbekistan | President Shavkat Mirziyoyev | Ziroatkhon Hoshimova | |
 Vanuatu | President Tallis Obed Moses | | |
 Venezuela | President Nicolás Maduro. (disputed ) | Cilia Flores |  |
| Acting President Juan Guaidó | Fabiana Rosales |  |
 Vietnam | General Secretary Nguyễn Phú Trọng | | |
| President Nguyễn Phú Trọng |
 Yemen | President Abdrabbuh Mansur Hadi | Married | |
 Zambia | President Edgar Lungu | Esther Lungu |  |
 Zimbabwe | President Emmerson Mnangagwa | Auxillia Mnangagwa |  |
