"Lord Paramount" is a title in the Seven Kingdoms, created during the Targaryen Conquest three centuries before the War of the Five Kings. It is a hereditary title bestowed upon a major noble House charged with ruling one of the unified Seven Kingdoms, under the overall rule of the Iron Throne.
Holders
Title
Holder
Picture
King of Westeros
Damon Lannister
Queen of Westeros
Danae Targaryen
Lord Paramount of the North
Jojen Stark , Lord of Winterfell
Lord Paramount of the Trident
Brynden Frey , Lord of the Twins
Lord Paramount of the Vale
Nathaniel Arryn , regent to Theon Arryn
Lord Paramount of the Westerlands
Aemon Estermont , regent to Damon Lannister
Lord of the Iron Islands
Dalton Greyjoy , Lord of Pyke
Lady Paramount of the Mander
Ashara Lannister , Lady of the Hightower
Lord Paramount of the Stormlands
Orys Connington , Lord of Storm's End
Princess of Dorne
Sarella Martell , Lady of Sunspear
Title
Holder
King of Westeros
Harys Baratheon
Lord Paramount of the North
Edmure Stark , Lord of Winterfell
Lord Paramount of the Trident
Petyr Baelish , Lord of Harrenhal, followed by Emmon Baelish
Lord Paramount of the Vale
James Arryn , Lord of The Eyrie, followed by Nathaniel Arryn
Lord Paramount of the Westerlands
Loren Lannister , Lord of Casterly Rock
Lord of the Iron Islands
Aeron Greyjoy , Lord of Pyke
Lord Paramount of the Mander
Baelor Tyrell , Lord of Highgarden
Lord Paramount of the Stormlands
Joseph Baratheon , Lord of Storm's End
Prince of Dorne
Aryyn Martell , Lord of Sunspear, followed by Sarella Martell
After the Ascent of the Lion
Title
Holder
King of Westeros
Damon Lannister
Lord Paramount of the North
Jojen Stark , Lord of Winterfell
Lord Paramount of the Trident
Marq Baelish , Lord of Harrenhal, followed by Edwin Frey
Lord Paramount of the Vale
Nathaniel Arryn , Lord of The Eyrie, regent to Theon Arryn
Lord Paramount of the Westerlands
Loren Lannister , Lord of Casterly Rock
Lord of the Iron Islands
Aeron Greyjoy , Lord of Pyke
Lord Paramount of the Mander
Gylen Hightower , Lord of the Hightower
Lord Paramount of the Stormlands
Orys Connington , Lord of Storm's End
Princess of Dorne
Sarella Martell , Lady of Sunspear