An exterior rearview mirror assembly for a vehicle includes a mirror head and an exterior mirror reflective element fixedly attached at the mirror head. An attachment portion is configured for attachment at an exterior portion of the vehicle. The mirror assembly includes a multi-axis adjustment mechanism having at least one electrically-operable actuator. The multi-axis adjustment mechanism is operable to move the mirror head, with the exterior mirror reflective element fixedly attached thereto, about multiple axes relative to the attachment portion. The exterior mirror reflective element moves in tandem with movement of the mirror head relative to the exterior portion of the body of the vehicle to adjust the rearward field of view of a driver of the vehicle who views the exterior mirror reflective element when operating the vehicle.