An elliptical exercise machine with adjustable ramp is provided and comprises a frame, first and second reciprocating foot supports, each foot support having a foot placement pad, first and second swing arms being pivotally connected to an upright support structure, first and second link arms being connected to a respective swing arm and a second end of each link arm being interconnected to a second end of a respective reciprocating foot support, a drive assembly positioned on the upright support structure, wherein a first end of each reciprocating foot support is movably linked to the drive assembly, and a ramp assembly adjustably linked to the frame by an adjustment mechanism coupled to the frame and the ramp assembly, the adjustment mechanism being configured to adjust the position of the ramp assembly and to thereby adjust stride movements of the respective foot placement pads.