Manufactured in East Liberty, Ohio, the Element was offered with front-wheel or all-wheel drive in the United States and Canada from model years 2003 through 2011.

When did the first honda element come out? Let's have some stream of consciousness first.
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The relevant information to answer the above question is: Manufactured in East Liberty, Ohio, the Element was offered with front-wheel or all-wheel drive in the United States and Canada from model years 2003 through 2011. So, the answer is 2003.
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