The position at first was an episcopate, revered as one of the three oldest episcopates (with Rome and Antioch) several centuries before Jerusalem or Constantinople attained that status in 381 or 451; the five were subsequently known as the Pentarchy.
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At the time of St. Cyril, Patriarch of Alexandria (412-444), there existed at Menuthis (Menouthes or Menouthis) near Canopus and present-day Abu Qir, a pagan temple reputed for its oracles and cures which attracted even some simple Christians of the vicinity.
Constans dispatched him after the Council of Sardica, along with two bishops, Vincentius of Capua and Euphrates of Cologne, to the court of his brother, Constantius II at Antioch, with a letter from Constans demanding that Constantius restore the Patriarch of Alexandria Athanasius to his see.
Gregory of Cappadocia served as Patriarch of Alexandria appointed (head of the church that became the Coptic Orthodox Church and the Greek Church of Alexandria) between 339 and 346.
John the Merciful (also known as John the Almsgiver, John the Almoner, John V of Alexandria, John Eleymon, San Ġwann t'Għuxa (Maltese) and Johannes Eleemon) (Patron of Casarano, Italy) was the Patriarch of Alexandria in the early 7th century (from 606 to 616) and a Christian saint.
In 445, Leo disputed with Patriarch Dioscorus, St. Cyril's successor as Patriarch of Alexandria, insisting that the ecclesiastical practice of his see should follow that of Rome on the basis that Mark the Evangelist, the disciple of Saint Peter and founder of the Alexandrian Church, could have had no other tradition than that of the prince of the apostles.
# Giovanni Vitelleschi, archbishop of Florence and patriarch of Alexandria – cardinal-priest of S. Lorenzo in Lucina, † 2 April 1440
Pope Avilius of Alexandria, also known as Milius, Patriarch of Alexandria between 83 and 95
Patriarch Peter VII of Alexandria (1949–2004), Eastern Orthodox Pope and Patriarch of Alexandria
Pope Peter VII of Alexandria (died 1852), Coptic Pope and Patriarch of Alexandria
His first recorded act was, after a synod had been held at Rome, to write to Emperor Constantius II, then in quarters at Arles (353–354), asking that a council might be called at Aquileia with reference to the affairs of Athanasius of Alexandria, but his messenger Vincentius of Capua was compelled by the emperor at a conciliabulum held in Arles to subscribe against his will to a condemnation of the orthodox patriarch of Alexandria.