 Gramsh has been inhabited since ancient times, as is confirmed by archaeological findings in the Tumulus of Cëruja.In the Middle Ages, the area was under the possession of Prince George Arianiti.During Ottoman rule, it was a kaza administrative division within the Sanjak of Elbasan of the Monastir Vilayet.From 1912 until 1947, this was the center of Gramsh area.