This volume constitutes the refereed proceedings of the 4th International Conference on Pattern Recognition and Artificial Intelligence, ICPRAI 2024, held in Jeju Island, South Korea, during July 03-06, 2024. The 69 full papers presented together with 08 short papers were carefully reviewed and selected from a total of 135 submissions. The conference focuses on topics that includes advanced deep learning approaches for image and document processing, generative AI, novel analysis methods for medical data, and biometrics.