A fourth-order filtering patch antenna with a novel coupling structure is presented in this paper. Using the proposed coupling structure, both the balanced coupling feed and cross-coupling are realized. Two identical slots etched on the ground plane are utilized to excite the radiating patch with the reduced cross-polarization level. A short slot etched on the ground plane is employed for cross-coupling, which introduces two controllable radiation nulls with a steep roll-off rate. In addition, owing to the split-ring resonators and hairpin resonators, the improved impedance bandwidth is achieved with the fourth-order filtering response. To demonstrate the proposed design techniques, both the filtering antenna element and the low-sidelobe array are designed, fabricated, and measured. The measured results show that the proposed antenna has the impedance bandwidth of 12% (4.78–5.39 GHz) with the total height of $0.06\lambda _{0}$ , the cross-polarization level lower than −31 dB, and two radiation nulls with the suppression higher than 31 dB. For the low-sidelobe antenna array, wide impedance bandwidth is also obtained with the sidelobe level below −28.7 dB, the cross-polarization level below −34 dB, and the out-of-band suppression better than 25 dB.