The 1974–75 West Midlands (Regional) League season was the 75th 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: | 1974–75 |
| Winners: | Alvechurch |
| Matches: | 240 |
| Total Goals: | 696 |
| Prevseason: | 1973–74 |
| Nextseason: | 1975–76 |
The Premier Division featured 14 clubs which competed in the division last season, along with two new clubs:
Also, Coventry Amateurs changed name to Coventry Sporting.