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.
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.