The congregation at Knox Presbyterian Church appears to date back to around 1882, building a church in 1885, at the corner of Scarth Street and 11th Avenue, and a later replacement in 1905. Knox joined the United Church of Canada in 1925. In 1951, Knox United Church amalgamated with Metropolitan United Church, to become Knox-Metropolitan United Church (and Pastoral Charge), located on the site of the former Metropolitan United Church, at the corner of Victoria Avenue and Lorne Street.

Built around 1912, Metropolitan Methodist Church became Metropolitan United Church in 1925 (part of the United Church of Canada). It was later re-named Knox-Metropolitan United Church, with the amalgamation of downtown Regina's Knox United Church and Metropolitan United Church.

Knox-Metropolitan Pastoral Charge was formed after the Knox and Metropolitan United Church congregations amalgamated to form Knox-Metropolitan United Church, on the site of the (former) Metropolitan United Church, at the corner of Victoria Avenue and Lorne Street.

Regina Metropolitan Pastoral Charge was formed as a new United Church charge in 1925, containing the preaching point Metropolitan United Church, formerly Metropolitan Methodist Church.

In 1951, Knox United Church amalgamated with Metropolitan United Church, to become Knox-Metropolitan United Church (and Pastoral Charge), located on the site of the former Metropolitan United Church, at the corner of Victoria Avenue and Lorne Street.