Parliament elects the head of government.
Voters elect the Landtag. It elects the Minister President without debate by more than half of its statutory membership. The head of government appoints the ministers and informs the Landtag. The constitution also requires a separate parliamentary confidence decision before the government takes office.
The Minister President sets the government’s policy guidelines and chairs the state government. Within those guidelines, ministers generally run their departments independently and on their own responsibility. Leadership therefore does not mean that one person makes every administrative decision.

The other three answers
The other titles do not name this Hessian government office.
First Minister
First Minister is not the Hessian office’s title. Similar titles from other political systems are not the appropriate choice here.
Prime Minister
Premierminister is not the German title of the office in Hessen. Prime Minister may occur as a general English translation, but in the unchanged answer scheme, Minister President is the designated correct option.
Mayor
A mayor leads at municipal level. The government office for the entire federal state of Hessen is called Minister President.
Government, parliament and municipal administration have different roles and levels.
The President of the Landtag presides over parliament. That is a different office from the head of the state government. Likewise, Wiesbaden is administered through its municipal bodies; its mayoral office is not the state’s head of government.
The government needs parliamentary confidence. If the Landtag withdraws confidence from the Minister President under the constitutional procedure, the officeholder must resign. The title is sufficient for this test question; rules from other states or the federal level should not be applied to Hessen without checking them.
Articles 100–104 · State government · Constitution of Hessen ↗Heading Hessen’s government → Minister President.
Ask which level is involved: the state is larger than a city. The title remains when the officeholder changes.
Three words for this question
- der Ministerpräsident / die MinisterpräsidentinMinister President
- The head of Hessen’s state government.
- die Richtlinienpolicy guidelines
- The overall political direction within which departments work.
- der Vertrauensbeschlussconfidence decision
- Here, the parliamentary confidence the government needs before taking office.
