| Year | Champion | Runner-Up | Score | Brackets |
| 1984 | Williamsport | Erie Prep | 68-61 | |
| 1985 | Carlisle | Brashear | 74-64 | |
| 1986 | Carlisle | Kiski Area | 51-49 | |
| 1987 | Carlisle | Meadville | 48-47 | |
| 1988 | Carlisle | Pittsburgh Central Catholic | 80-54 | |
| 1989 | Chester | Brashear | 72-57 | |
| 1990 | Glen Mills | Ringgold | 76-74 | |
| 1991 | Glen Mills | Altoona | 81-75 | |
| 1992 | Steelton-Highspire | Punxsutawney | 58-49 | |
| 1993 | Erie Prep | Hazleton | 41-30 | |
| 1994 | Chester | Erie Prep | 69-65 | |
| 1995 | Ringgold | Williamsport | 71-66 | |
| 1996 | Lower Merion | Erie Prep | 48-43 | |
| 1997 | Plymouth-Whitemarsh | Franklin Regional | 50-45 | |
| 1998 | Harrisburg | New Castle | 69-53 | |
| 1999 | Williamsport | Erie McDowell | 64-40 | |
| 2000 | Chester | Uniontown | 73-48 | |
| 2001 | Coatesville | Schenley | 70-57 | Brackets |
| 2002 | Harrisburg | Uniontown | 69-62 | Brackets |
| 2003 | State College | Chester | 76-71 | Brackets |
| 2004 | Penn Hills | Parkland | 57-48 | Brackets |
| 2005 | Chester | Lower Merion | 74-61 | Brackets |
| 2006 | Lower Merion | Schenley | 60-58 | Brackets |
| 2007 | Schenley | Chester | 78-71 | Brackets |
| 2008 | Chester | Norristown | 81-77 | Brackets |
| 2009 | Penn Wood | William Penn | 72-53 | Brackets |
| 2010 | Plymouth-Whitemarsh | Penn Wood | 58-51 | Brackets |
| 2011 | Chester | Mt. Lebanon | 72-60 OT | Brackets |
| 2012 | Chester | Lower Merion | 59-33 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1920 | Harrisburg Technical | Bellevue | 38-34 | |
| 1921 | McKeesport | Williamsport | 24-21 | |
| 1922 | Mahanoy City | Harrisburg Technical | 22-17 | |
| 1923 | Nanticoke | Monessen | 23-21 | |
| 1924 | Homestead | Nanticoke | 32-21 | |
| 1925 | Uniontown | Williamsport | 21-14 | |
| 1926 | Nanticoke | Erie East | 44-25 | |
| 1927 | Steelton | Sharon | 34-26 | |
| 1928 | Hazleton | Lewistown | 35-31 | |
| 1929 | Hazleton | Sharon | 34-22 | |
| 1930 | Sharon | Lower Merion | 18-14 | |
| 1931 | North Braddock Scott | Lower Merion | 28-15 | |
| 1932 | Old Forge | Erie Strong Vincent | 24-19 | |
| 1933 | Lower Merion | Altoona | 21-16 | |
| 1934 | Pittsburgh South | Reading | 42-17 | |
| 1935 | Allentown | Rankin | 32-19 | |
| 1936 | Newport Township | New Castle | 36-34 | |
| 1937 | Pittsburgh South | Newport Township | 38-28 | |
| 1938 | Hazleton | Altoona | 29-27 | |
| 1939 | Homestead | Lower Merion | 29-24 | |
| 1940 | Lebanon | Conemaugh | 37-32 | |
| 1941 | Lower Merion | Duquesne | 32-24 | |
| 1942 | Lower Merion | Sharon | 32-27 | |
| 1943 | Lower Merion | Farrell | 29-28 | |
| 1944 | Duquesne | Hazleton | 43-35 | |
| 1945 | Allentown | Donora | 40-38 | |
| 1946 | Allentown (title vacated) | Homestead | 45-27 | |
| 1947 | Allentown (title vacated) | Duquesne | 46-42 | |
| 1948 | Norristown | Ford City | 30-23 | |
| 1949 | Aliquippa | York | 63-51 | |
| 1950 | Homestead | Swoyerville | 48-42 | |
| 1951 | Allentown | Farrell | 66-55 | |
| 1952 | Farrell | Coatesville | 63-55 | |
| 1953 | Yeadon | Sharon | 55-43 | |
| 1954 | Farrell | Chester | 63-52 | |
| 1955 | McKeesport | Chester | 54-48 | |
| 1956 | Farrell | Palmerton | 57-45 | |
| 1957 | Sharon | Chester | 59-50 | |
| 1958 | Haverford | Altoona | 67-45 | |
| 1959 | Farrell | Chester | 76-66 | |
| 1960 | Farrell | Radnor | 61-40 | |
| 1961 | Nanticoke | Hickory | 56-46 | |
| 1962 | Uniontown | Norristown | 90-57 | |
| 1963 | Plymouth-Whitemarsh | Norwin | 74-54 | |
| 1964 | Uniontown | Plymouth-Whitemarsh | 62-51 | |
| 1965 | Midland | Steelton-Highspire | 90-61 | |
| 1966 | Schenley | Chester | 74-64 | |
| 1967 | Ambridge | Chester | 93-61 | |
| 1968 | Laurel Highlands | Cheltenham | 63-56 | |
| 1969 | Farrell | Steelton-Highspire | 61-50 | |
| 1970 | Beaver Falls | Haverford | 82-58 | |
| 1971 | Schenley | Norristown | 77-60 | |
| 1972 | Farrell | Chester | 56-55 | |
| 1973 | General Braddock | Reading | 63-62 | |
| 1974 | Abington | Peabody | 53-48 | |
| 1975 | Schenley | Abington | 65-64 | |
| 1976 | Fifth Avenue | Norristown | 53-42 | |
| 1977 | Fox Chapel | Steelton-Highspire | 81-71 | |
| 1978 | Schenley | Lebanon | 51-50 | |
| 1979 | Valley | Allentown Allen | 72-66 | |
| 1980 | Erie Prep | Allentown Allen | 50-40 | |
| 1981 | Uniontown | Springfield Delco | 73-61 | |
| 1982 | Whitehall | New Castle | 42-38 | |
| 1983 | Chester | McKeesport | 82-66 | |
| 1984 | Allentown C.C. | Hampton | 72-53 | |
| 1985 | Erie Strong Vincent | Nanticoke | 70-53 | |
| 1986 | Allentown C.C. | Aliquippa | 65-54 | |
| 1987 | York Catholic | Aliquippa | 63-54 | |
| 1988 | Seton-LaSalle | Milton | 77-72 | |
| 1989 | Aliquippa | Allentown C.C. | 78-75 | |
| 1990 | York Catholic | Perry | 63-52 | |
| 1991 | Perry | Pottstown | 67-61 | |
| 1992 | Blackhawk | Strath Haven | 71-55 | |
| 1993 | Pottstown | Valley | 85-66 | |
| 1994 | Beaver Falls | Academy Park | 65-59 | |
| 1995 | Blackhawk | Pottstown | 64-59 | |
| 1996 | Blackhawk | Valley View | 67-55 | |
| 1997 | Susquehanna Township | Lewistown | 64-45 | |
| 1998 | Steelton-Highspire | Chartiers Valley | 69-45 | |
| 1999 | Blackhawk | Holy Ghost Prep | 66-43 | |
| 2000 | Steelton-Highspire | Blackhawk | 68-56 | |
| 2001 | Franklin | Allentown C.C. | 58-50, OT | Brackets |
| 2002 | Kennett | West Mifflin | 72-51 | Brackets |
| 2003 | Lancaster Catholic | Perry | 75-59 | Brackets |
| 2004 | Moon | Holy Ghost Prep | 52-50 | Brackets |
| 2005 | Steelton-Highspire | Johnstown | 70-48 | Brackets |
| 2006 | Franklin | Communications Tech | 74-63 | Brackets |
| 2007 | General McLane | Greencastle-Antrim | 57-55 | Brackets |
| 2008 | Steelton-Highspire | Susquehanna Township | 65-52 | Brackets |
| 2009 | Archbishop Carroll | Greensburg Salem | 75-54 | Brackets |
| 2010 | Neumann-Goretti | Chartiers Valley | 65-63 | Brackets |
| 2011 | Neumann-Goretti | Montour | 55-45 | Brackets |
| 2012 | Neumann-Goretti | Montour | 48-45 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1945 | McAdoo | Conneautville | 52-28 | |
| 1946 | Fell Township | Stoneycreek Township | 37-34 | |
| 1947 | Irwin | Weatherly | 45-38 | |
| 1948 | Irwin | Bridgeport | 49-34 | |
| 1949 | Kane | Ashley | 45-44 | |
| 1950 | Kutztown | Irwin | 48-47 | |
| 1951 | Kutztown | Avalon | 51-48 | |
| 1952 | Avalon | Kutztown | 64-62 | |
| 1953 | Irwin | Ashley | 73-51 | |
| 1954 | Irwin | Mount Penn | 61-55 | |
| 1955 | Wampum | Fountain Hill | 73-61 | |
| 1956 | Fountain Hill | East Pittsburgh | 63-53 | |
| 1957 | Fountain Hill | Shannock Valley | 72-64 | |
| 1958 | Wampum | Columbia | 82-64 | |
| 1959 | Kutztown | West Middlesex | 61-54 ?? | |
| 1960 | Wampum | Montrose | 57-51 | |
| 1961 | Fort Cherry | St. Clair | 51-41 | |
| 1962 | Darby Township | Mercer | 51-42 | |
| 1963 | Darby-Colwyn | Mercer | 61-45 | |
| 1964 | Montrose | Mercer | 73-65 | |
| 1965 | Northern Cambria | Montrose | 78-69 | |
| 1966 | Mercer | Darby-Colwyn | 55-52 | |
| 1967 | Mercer | Montrose | 61-52 | |
| 1968 | Middletown | East Brady | 78-48 | |
| 1969 | Mansfield | Frazier | 65-43 | |
| 1970 | Avon Grove | Mohawk | 73-50 | |
| 1971 | Midland | Camp Hill | 61-52 | |
| 1972 | Darby-Colwyn | Monaca | 64-54 | |
| 1973 | Midland | Bristol | 84-77 | |
| 1974 | Midland | Exeter | 58-52 | |
| 1975 | Bristol | Midland | 49-47 | |
| 1976 | Midland | Holy Ghost Prep | 51-50 | |
| 1977 | Cocalico | Mercer | 75-59 | |
| 1978 | York Catholic | Northgate | 57-56 | |
| 1979 | York Catholic | Ford City | 69-48 | |
| 1980 | Susquehanna | Greensburg C.C. | 71-62 | |
| 1981 | Central Columbia | Carlynton | 49-46 | |
| 1982 | Bishop Boyle | Northern Lehigh | 78-67 | |
| 1983 | Sto-Rox | Tamaqua | 71-64 | |
| 1984 | Washington | Delone Catholic | 45-43 | |
| 1985 | Bishop Shanahan | Bishop McCort | 52-46 | |
| 1986 | Washington | Wilkes-Barre GAR | 68-50 | |
| 1987 | Columbia | Windber | 49-43 | |
| 1988 | Girard | Eastern | 81-62 | |
| 1989 | Delone Catholic | Brentwood | 68-61 | |
| 1990 | Girard | Wilkes-Barre GAR | 59-49 | |
| 1991 | Mercyhurst Prep | Wilkes-Barre GAR | 58-55 | |
| 1992 | Carlynton | Trinity (Dist. 3) | 52-47 | |
| 1993 | Carbondale | George Jr. Republic | 65-63 | |
| 1994 | Aliquippa | Carbondale | 60-57 | |
| 1995 | Shady Side Academy | Annville-Cleona | 90-75 | |
| 1996 | George Jr. Republic | Reading Central Catholic | 61-59 | |
| 1997 | Aliquippa | Wilkes-Barre Meyers | 57-50 | |
| 1998 | George Jr. Republic | Reading Central Catholic | 62-52 | |
| 1999 | Annville-Cleona | Quaker Valley | 69-57, 2OT | |
| 2000 | Shady Side Academy | Halifax | 55-50 | |
| 2001 | Trinity (Dist. 3) | Aliquippa | 79-65 | Brackets |
| 2002 | Bishop Hannan | Sto-Rox | 70-68 | Brackets |
| 2003 | Trinity (Dist. 3) | Sto-Rox | 66-49 | Brackets |
| 2004 | Sto-Rox | Trinity (Dist. 3) | 62-53 | Brackets |
| 2005 | Beaver Falls | York Catholic | 71-59 | Brackets |
| 2006 | Prep Charter | Beaver Falls | 82-51 | Brackets |
| 2007 | Prep Charter | Aliquippa | 68-66 | Brackets |
| 2008 | Jeannette | Strawberry Mansion | 76-72 | Brackets |
| 2009 | Imhotep Charter | North Catholic | 75-67, 2OT | Brackets |
| 2010 | South Fayette | Strawberry Mansion | 49-47 | Brackets |
| 2011 | Imhotep Charter | Greensburg Central Catholic | 67-34 | Brackets |
| 2012 | Imhotep Charter | Beaver Falls | 56-54, OT | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1951 | Fredonia | Mount Joy | 49-43 | |
| 1952 | Jenkintown | Coudersport | 83-58 | |
| 1953 | Jenkintown | Centre Hall | 88-51 | |
| 1954 | West Middlesex | Mount Joy | 74-58 | |
| 1955 | Fredonia | Freeland | 50-44 | |
| 1956 | Jenkintown | Williamsburg | 79-66 | |
| 1957 | Fleetwood | Williamsburg | 64-63 | |
| 1958 | Williamsburg | Jenkintown | 49-45 | |
| 1959 | West Reading | Lilly-Washington | 74-55 | |
| 1960 | West Reading | Commodore Perry | 84-75 | |
| 1961 | West Reading | Williamsport | 69-48 | |
| 1962 | Jim Thorpe | Clarion | 51-40 | |
| 1963 | Rothrock | Jim Thorpe | 43-41 | |
| 1964 | Conshohockon | Coudersport | 63-48 | |
| 1965 | Conneaut Lake | Lykens | 66-54 | |
| 1966 | Williamsburg | Jim Thorpe | 89-55 | |
| 1967 | Darby Township | Union-Rimersburg | 51-44 | |
| 1968 | Mount Penn | Williamsburg | 62-61 | |
| 1969 | Elk Lake | Laurel Valley | 71-52 | |
| 1970 | St. Clair | Laurel Valley | 76-58 | |
| 1971 | Mount Penn | Laurel Valley | 66-41 | |
| 1972 | Mount Penn | Karns City | 58-47 | |
| 1973 | Freeland MMI | Allegheny-Clarion Valley | 77-71 | |
| 1974 | Holy Ghost Prep | Union-Rimersburg | 63-48 | |
| 1975 | Darby Township | Rockwood | 57-28 | |
| 1976 | Bishop Klonowski | Uniontown St. John | 81-78 | |
| 1977 | Elk Lake | Shanksville | 94-60 | |
| 1978 | Geibel | Darby Township | 66-53 | |
| 1979 | St. Pius X | Conemaugh Township | 57-51 | |
| 1980 | East Brady | Darby Township | 72-66 | |
| 1981 | Milton Hershey | Laurel Valley | 52-49 | |
| 1982 | Monaca | Elk Lake | 57-48 | |
| 1983 | Northwest | Karns City | 58-45 | |
| 1984 | Northwest | Cornell | 48-38 | |
| 1985 | Reading Central Catholic | Midland | 55-47 | |
| 1986 | Kennedy Christian | Bristol | 55-44 | |
| 1987 | Kennedy Christian | Millersburg | 64-58 | |
| 1988 | Monessen | Bristol | 62-60 | |
| 1989 | Monessen | Trinity (Dist. 3) | 73-67 | |
| 1990 | Lourdes Regional | Kennedy Christian | 55-54 | |
| 1991 | Clairton | Scotland School | 85-76 | |
| 1992 | Duquesne | Scotland School | 87-72 | |
| 1993 | Duquesne | Loyalsock | 70-60 | |
| 1994 | Scotland School | Duquesne | 45-43 | |
| 1995 | Scotland School | Juniata Valley | 73-42 | |
| 1996 | Juniata Valley | Bishop O'Hara | 60-43 | |
| 1997 | Sewickley Academy | Schuylkill Haven | 52-45 | |
| 1998 | Kennedy Christian | Reading Holy Name | 51-48 | |
| 1999 | Kennedy Christian | Bishop Hannan | 78-51 | |
| 2000 | Kennedy Christian | Bishop Hannan | 64-57, OT | |
| 2001 | Kennedy Christian | Fairfield | 87-45 | Brackets |
| 2002 | Scotland School | Kennedy Catholic | 69-50 | Brackets |
| 2003 | Scotland School | Union | 80-59 | Brackets |
| 2004 | Bishop O'Reilly | Sewickley Academy | 70-54 | Brackets |
| 2005 | Bishop O'Reilly | Kennedy Catholic | 65-61 | Brackets |
| 2006 | Elk County Catholic | Bishop Hannan | 71-61 | Brackets |
| 2007 | Reading C.C. | DuBois Central Catholic | 58-33 | Brackets |
| 2008 | Serra Catholic | Freire Charter | 67-66 | Brackets |
| 2009 | Girard College | Kennedy Catholic | 80-70 | Brackets |
| 2010 | Sewickley Academy | Reading C.C. | 43-35 | Brackets |
| 2011 | MCS Charter | Lincoln Park | 70-55 | Brackets |
| 2012 | Constitution | Lincoln Park | 68-46 | Brackets |