The 1973–74 West Midlands (Regional) League season was the 74th in the history of the West Midlands (Regional) League, an English association football competition for semi-professional and amateur teams based in the West Midlands county, Shropshire, Herefordshire, Worcestershire and southern Staffordshire.
| Competition: | West Midlands League Premier Division |
| Season: | 1973–74 |
| Winners: | Alvechurch |
| Matches: | 272 |
| Total Goals: | 793 |
| Prevseason: | 1972–73 |
| Nextseason: | 1974–75 |
The Premier Division featured 14 clubs which competed in the division last season, along with three new clubs: