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.\n\nWhen did the first honda element come out?
Let's think step by step below.
2003
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.

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The answer: 2003