First parliament, then the election of the head of government.
Voters elect the Landtag. The Landtag then elects the Minister-President by secret ballot without debate. The first ballot requires a majority of all members; the constitution regulates further ballots if that majority is not achieved.
The elected head of government appoints and dismisses ministers. The officeholder sets policy guidelines; within them, each minister independently manages their portfolio. This combines collective political direction with responsibility for individual fields.

The other three answers
The German office title is decisive; English needs an extra clarification.
First Minister
First Minister is not the office title used in Sachsen-Anhalt’s constitution.
Prime Minister
Premierminister is not the German title sought here. In English, however, Prime Minister can translate Ministerpräsident, as official texts from other states show. The fixed English quiz key nevertheless requires Minister President.
Mayor
Mayor belongs to the municipal level. The question asks for the head of government of the entire federal state.
The person can change while the office title remains.
The question does not require a current officeholder’s name. A change of government does not invalidate the constitutional title. Learn the function and government level rather than only a person from the news.
In Sachsen-Anhalt, the Minister-President does not have to be a member of the Landtag. Election nevertheless takes place through the Landtag, and the head of government is politically accountable to it.
Articles 64, 65 and 68 · Constitution of Sachsen-Anhalt ↗Sachsen-Anhalt state government → Minister-President.
Minister President remains the stored English quiz answer; Prime Minister is not inherently wrong as a translation.
Three words for this question
- die Ministerpräsidentin / der MinisterpräsidentMinister-President
- The head of the state government elected by the Landtag.
- das Ressortportfolio
- A subject area of responsibility within government.
- die Richtlinienpolicy guidelines
- The main political direction for the government’s work.
