The club was created in 1924 following the merger between FC Union and FC Goldstar, two clubs from Sint-Truiden. The colors of the club were chosen to be yellow and blue, to match the colors of the city, and it was named Sint-Truidense Voetbal Vereeniging. The first game of the team, against Cercle Tongeren, was played in front of only 9 attendees. In the late 1930s, Léopold Appeltans was the leading player of Sint-Truidense. On November 21, 1948, he became the first capped player for Belgium while playing at this club. In the late 1940s it qualified for the second division. It also changed its name to Sint-Truidense Voetbalvereniging in 1947. Five years later it finished second in the second division and thus promoted to the first division. Successful manager Raymond Goethals arrived at Sint-Truiden in 1959. Under his management, the team finished second of the top division in 1966.
The former Sint-Truidense goalkeeper Jacky Mathijssen became the manager of the club in 2001 and remained at the helm for three seasons after which he left for Charleroi. He was replaced by Marc Wilmots, who was fired shortly after. The team finished the season under the coaching of the trio Guy Mangelschots, Eddy Raymaekers and Peter Voets. At the end of the 2004–05 season the board of directors hired Oostende manager Herman Vermeulen but he was fired on February 9, 2006 as the club pointed at the seventeenth position in the ranking. In 2008 the women's team of FCL Rapide Wezemaal joined STVV.
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