The2003–04Liga Leumit season sawHapoel Haifa win the title and promotion to thePremier League. Runners-upHapoel Nazareth Illit were also promoted to the Premier League for the first time in their history.
Bottom-placedHapoel Ramat Gan were relegated toLiga Artzit.Tzafririm Holon were also due to be relegated, but were reprieved afterMaccabi Kiryat Gat were demoted toLiga Alef due to financial difficulties.
| Pos | Team | Pld | W | D | L | GF | GA | GD | Pts | Promotion or relegation |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Hapoel Haifa | 33 | 16 | 7 | 10 | 44 | 32 | +12 | 55 | Promoted toPremier League |
| 2 | Hapoel Nazareth Illit | 33 | 14 | 12 | 7 | 49 | 29 | +20 | 54 | |
| 3 | Ironi Kiryat Shmona | 33 | 13 | 15 | 5 | 49 | 32 | +17 | 54 | |
| 4 | Hapoel Kfar Saba | 33 | 14 | 12 | 7 | 45 | 32 | +13 | 53[a] | |
| 5 | Hapoel Ra'anana | 33 | 14 | 7 | 12 | 48 | 41 | +7 | 49 | |
| 6 | Hapoel Jerusalem | 33 | 10 | 13 | 10 | 30 | 37 | −7 | 43 | |
| 7 | Maccabi Kiryat Gat | 33 | 9 | 13 | 11 | 30 | 37 | −7 | 40 | Relegated toLiga Alef |
| 8 | Hakoah Ramat Gan | 33 | 10 | 9 | 14 | 32 | 37 | −5 | 39 | |
| 9 | Maccabi Herzliya | 33 | 8 | 15 | 10 | 34 | 39 | −5 | 39 | |
| 10 | Ironi Rishon LeZion | 33 | 9 | 9 | 15 | 31 | 42 | −11 | 36 | |
| 11 | Tzafririm Holon | 33 | 8 | 12 | 13 | 26 | 42 | −16 | 36 | |
| 12 | Hapoel Ramat Gan | 33 | 6 | 10 | 17 | 29 | 47 | −18 | 28 | Relegated toLiga Artzit |