This book constitutes the refereed proceedings of the 21st International Conference on Modeling Decisions for Artificial Intelligence, MDAI 2024, held in Umeå, Sweden, during August 27-30, 2024.The 18 full papers were carefully reviewed and selected from 37 submissions. There were organized in topical headings as follows: Fuzzy measures and integrals; uncertainty in AI; clustering; and data science and data privacy.