Federal elections were held on 29 November 1993. There were a total of 29,257 registered electors.

Main contenders for the 11 elective National Assembly seats were the ruling People’s Action Movement (PAM) of outgoing Prime Minister Kennedy Simmons – which governed in coalition with the Nevis Reformation Party (NRP) – and the St. Kitts-Nevis Labour Party (SKNLP), led by Mr. Denzil Douglas. Altogether 29 candidates and five parties (three in St. Kitts, two in Nevis) were in the running.

A total of 29 candidates were nominated to contest the General Elections in the 11 constituencies: In St. Kitts: People's Action Movement (PAM) - 8; St. Kitts Nevis Labour Party (SKNLP) - 8; United People's Party (UPP) - 6. In Nevis: Concerned Citizens' Movement (CCM) - 3; Nevis Reformation Party (NRP) – 3; Independent - 1.

At the end of the count, the results were as follows: In St. Kitts: People's Action Movement (PAM) - 4; St. Kitts Nevis Labour Party (SKNLP) - 4. In Nevis: Concerned Citizen's Movement (CCM) - 2; Nevis Reformation Party (NRP) – 1.

Polling results led to a hung Parliament, as PAM and SKNLP each captured four seats, the former losing two.  The Nevis-based Concerned Citizens’ Movement (CCM), with two seats, was thus left holding the balance of power but decided to stay neutral.  On 1 December, the Governor-General asked Mr. Simmonds to form a new government. Mr. Douglas opposed this move, arguing that the electorate had voted for change (SKNLP in fact topped PAM’s percentage of the popular vote) and a 21-day state of emergency was declared following public demonstrations by Labour supporters. Mr. Simmonds, Prime Minister since 1980, nevertheless stayed in power with renewed NRP support. New elections in the coming months were likely.

Voter turrnout was 66.7%.