The 2003–04 Liga Artzit season saw Ironi Nir Ramat HaSharon win the title and promotion to Liga Leumit alongside runners-up Hapoel Acre. Hapoel Tira and Hapoel Beit She'an were relegated to Liga Alef.
Beitar Avraham Be'er Sheva who had been relegated from Liga Leumit the previous season and were due to play in Liga Artzit in 2003–04, folded in the summer of 2003. Their place was taken by Hapoel Marmorek, the best runners-up in Liga Alef.
Final table
edit| Pos | Team | Pld | W | D | L | GF | GA | GD | Pts | Promotion or relegation |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Ironi Nir Ramat HaSharon | 33 | 21 | 9 | 3 | 58 | 19 | +39 | 72 | Promoted to Liga Leumit |
| 2 | Hapoel Acre | 33 | 18 | 10 | 5 | 59 | 25 | +34 | 64 | |
| 3 | Hapoel Ashkelon | 33 | 15 | 8 | 10 | 65 | 42 | +23 | 53 | |
| 4 | Maccabi Ironi Kiryat Ata | 33 | 13 | 13 | 7 | 52 | 34 | +18 | 52 | |
| 5 | Maccabi Kafr Kanna | 33 | 11 | 13 | 9 | 51 | 49 | +2 | 46 | |
| 6 | Hapoel Herzliya | 33 | 12 | 6 | 15 | 45 | 47 | −2 | 42 | |
| 7 | Maccabi Ramat Amidar | 33 | 12 | 5 | 16 | 34 | 50 | −16 | 41 | |
| 8 | Hapoel Marmorek | 33 | 9 | 12 | 12 | 45 | 43 | +2 | 39 | |
| 9 | Hapoel Majd al-Krum | 33 | 10 | 8 | 15 | 34 | 49 | −15 | 38 | |
| 10 | Beitar Shimshon Tel Aviv | 33 | 9 | 9 | 15 | 37 | 49 | −12 | 36 | |
| 11 | Hapoel Tira | 33 | 9 | 6 | 18 | 33 | 63 | −30 | 33 | Relegated to Liga Alef |
| 12 | Hapoel Beit She'an | 33 | 6 | 7 | 20 | 23 | 66 | −43 | 25 |
Source: rsssf.com