Murdo Fraser, Liz Smith, Dean Lockhart and Alexander Stewart have been returned for the Tories, replicating the result in 2016.
Alex Rowley and Claire Baker have also been returned for Labour, while Mark Ruskell was returned for the Scottish Greens.
A total of 344,660 people across the Mid-Scotland and Fife region - made up of Cowdenbeath, North East Fife, Dunfermline, Kirkcaldy, Mid-Fife and Glenrothes, Perthshire North, Perthshire South and Kinross-shire, Stirling and Clackmannanshire and Dunblane - voted - a turnout of 66.73 per cent.
In all, 344,059 valid ballots were cast, with 601 discarded due to being unmarked or invalid.
The declaration was made around 7.40pm by Fife Council chief executive and regional returning officer Steve Grimmond.
MID SCOTLAND AND FIFE RESULTS
First additional member: Murdo Fraser (CON)
Second additional member: Liz Smith (CON)
Third additional member: Claire Baker (LAB)
Fourth additional member: Mark Ruskell (GRN)
Fifth: Dean Lockhart (CON)
Sixth: Alex Rowley (LAB)
Seventh: Alexander Stewart (CON)
Abolish The Scottish Parliament – 945
Alba Party – 5893
All for Unity – 2,578
Freedom Alliance – 837
Reform – 808
Scottish Conservatives – 85,909
Scottish Family Party – 1,920
Scottish Green Party – 28,654
Scottish Labour Party – 52,626
Scottish Liberal Democrats – 25,489
Scottish Libertarian Party – 818
Scottish National Party – 136,825
Scottish Renew – 99
UK Independence Party – 399
Mercy Kamanja Independent – 29
Martin Keatings Independent – 230
Total valid votes – 344,059
Rejected papers – 601
Turnout – 66.73%