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Founded in 1969 as an amateur works team for Lloyds Finance, they initially played as Lloyds & Scottish prior to renaming themselves Lothian Thistle.

The club originally competed in the Lothian amateur league before a successful spell in the Caledonian Amateur Football League. They then moved up to senior status when they joined the East of Scotland Football League in 1995, gaining promotion to the Premier Division two years later in 1997.

The club is linked with the youth football club Hutchison Vale, and changed their name to Lothian Thistle Hutchison Vale before the start of the 2011–12 season to reflect this.

LTHV won the East of Scotland Premier Division title for the first time in the 2013–14 season, repeating this success in the 2014–15 season. They were runners-up in 2015–16 and won the league for the third time in 2016–17, although they did not take part in the play-off for promotion to the Lowland League because they were ineligible for licensing reasons. They narrowly lost out on the 2017–18 title after defeat to Kelty Hearts on the final day of the season.

The club reached the 3rd round of the Scottish Cup in 2017–18 beating League Two side Stirling Albion 5-3 away from home, before losing 1-7 at home to St Mirren. They became SFA members in 2018, allowing them automatic entry into the Scottish Cup.

LTHV gained promotion back to the Premier Division for 2020–21 after winning First Division Conference A in the curtailed 2019–20 season.