Lancia produced several narrow-angle V4 engines from the 1920s through 1960s for cars like the Lambda, Augusta, Artena, Aprilia, Ardea, Appia, and Fulvia. These were a predecessor for Volkswagen's VR6 family.
Ford of Europe produced two totally different V4 engines with a balance shaft, one in the UK and one in Germany:

• The British Ford Essex V4 engine
• The German Ford Taunus V4 engine (also used by Saab)

Saab featured the Ford 1500 cc OHV V4 engine in their 95, 96 and Sonett models, producing 65 bhp (48 kW) and 85 lb·ft (115 N·m) of torque.
The Ukrainian manufacturer ZAZ also used air cooled V4s with a balance shaft, produced by MeMZ and used in Zaporozhets cars.