| Year | Champion | Runner-Up | Score | Brackets |
| 1984 | Farrell | Ambridge | 71-66 | |
| 1985 | Latrobe | Baldwin | 67-59 | |
| 1986 | Norwin | Kiski Area | 62-50 | |
| 1987 | Penn Hills | Central Catholic | 64-44 | |
| 1988 | Norwin | Fox Chapel | 56-44 | |
| 1989 | Bethel Park | Hempfield | 62-55 | |
| 1990 | Ringgold | Mt. Lebanon | 68-55 | |
| 1991 | Butler | Hempfield | 79-54 | |
| 1992 | Farrell | Mt. Lebanon | 63-46 | |
| 1993 | New Castle | Butler | 67-50 | |
| 1994 | Penn Hills | Upper St.Clair | 55-42 | |
| 1995 | McKeesport | North Allegheny | 48-45 | |
| 1996 | Upper St. Clair | Franklin Regional | 60-53 | |
| 1997 | New Castle | Franklin Regional | 61-54 | |
| 1998 | New Castle | Fox Chapel | 75-43 | |
| 1999 | New Castle | North Allegheny | 51-32 | |
| 2000 | Penn Hills | Butler | 73-63 | |
| 2001 | Chartiers Valley | Uniontown | 59-55 | Brackets |
| 2002 | Uniontown | New Castle | 60-57 | Brackets |
| 2003 | Penn Hills | Upper St. Clair | 51-41 | Brackets |
| 2004 | Chartiers Valley | Connellsville | 57-47 | Brackets |
| 2005 | Upper St. Clair | Mt. Lebanon | 57-55 | Brackets |
| 2006 | Mt. Lebanon | McKeesport | 56-46 | Brackets |
| 2007 | Bethel Park | Albert Gallatin | 68-63 | Brackets |
| 2008 | Central Catholic | Moon | 55-54 | Brackets |
| 2009 | Peters Township | Mt. Lebanon | 60-54 | Brackets |
| 2010 | Mt. Lebanon | Gateway | 57-51 | Brackets |
| 2011 | Gateway | Chartiers Valley | 58-43 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1909 | Pittsburgh Central | |||
| 1910 | Pittsburgh South | |||
| 1911 | Pittsburgh Central | |||
| 1912 | Butler | |||
| 1913 | Wilkinsburg | Shady Side Academy |
33-38 45-41 27-24 | |
| 1914 | Butler | Pittsburgh Peabody | 25-17 28-26 | |
| 1915 | Butler | Pittsburgh Peabody | 22-20 | |
| 1916 | Pittsburgh South | Pittsburgh Fifth Avenue | 27-20 37-29 | |
| 1917 | Pittsburgh Schenley | Braddock | 30-28 32-29 | |
| 1918 | Pittsburgh South | Braddock | 28-26 | |
| 1919 | Monessen | Bellevue | 26-25, OT | |
| 1920 | Bellevue | McKeesport | 35-25 | |
| 1921 | McKeesport | Pittsburgh Fifth Avenue | 44-34 | |
| 1922 | Wilkinsburg | McKeesport | 26-25 | |
| 1923 | Homestead ???? | Monessen ???? | 22-18 | |
| 1924 | Homestead | Monessen | 36-21 | |
| 1925 | Uniontown | Edgewood | 23-16 | |
| 1926 | Uniontown | Duquesne | 26-17 | |
| 1927 | New Castle | Coraopolis | 23-11 | |
| 1928 | Duquesne | New Castle | 42-13 | |
| 1929 | Homestead | Bellevue | 21-16 | |
| 1930 | New Kensington | Duquesne | 38-34 | |
| 1931 | North Braddock Scott | Duquesne | 36-11 | |
| 1932 | Braddock | New Kensington | 29-21 | |
| 1933 | Duquesne | New Castle | 25-21 | |
| 1934 | New Kensington | Ambridge | 26-22 | |
| 1935 | Rankin | Beaver Falls | 44-30 | |
| 1936 | New Castle | Crafton | 25-17 | |
| 1937 | Ford City | Duquesne | 20-19 | |
| 1938 | Ford City | Har-Brack | 32-26 | |
| 1939 | Homestead | Ford City | 34-22 | |
| 1940 | Charleroi | Canonsburg | 24-22, OT | |
| 1941 | Duquesne | Aliquippa | 44-30 | |
| 1942 | Arnold | Coraopolis | 36-32 | |
| 1943 | North Braddock Scott | Ford City | 34-29 | |
| 1944 | Duquesne | Beaver Falls | 50-27 | |
| 1945 | Donora | Beaver Falls | 53-38 | |
| 1946 | Homestead | Sharon | 35-30 | |
| 1947 | Duquesne | Aliquippa | 41-34 | |
| 1948 | Ford City | McKeesport | 41-30 | |
| 1949 | Aliqiuppa | Homestead | 40-28 | |
| 1950 | Homestead | Farrell | 38-36 | |
| 1951 | Farrell | Monessen | 40-37 | |
| 1952 | Farrell | Washington | 52-43 | |
| 1953 | Sharon | Ford City | 49-41 | |
| 1954 | Farrell | McKeesport | 52-37 | |
| 1955 | McKeesport | Farrell | 76-61 | |
| 1956 | Farrell | Monessen | 48-41 | |
| 1957 | Sharon | McKeesport | 56-55 | |
| 1958 | Charleroi | Washington | 46-45 | |
| 1959 | Farrell | Charleroi | 70-47 | |
| 1960 | Farrell | Uniontown | 59-54 | |
| 1961 | Mt. Lebanon | Uniontown | 50-34 | |
| 1962 | Uniontown | Ford City | 50-34 | |
| 1963 | Norwin | Aliquippa | 69-64 | |
| 1964 | Uniontown | Midland | 46-43 | |
| 1965 | Midland | Aliquippa | 62-41 | |
| 1966 | Uniontown | McKeesport | 81-63 | |
| 1967 | Ambridge | Mt. Lebanon | 62-52 | |
| 1968 | Laurel Highlands | Donora | 74-53 | |
| 1969 | Farrell | Penn Hills | 70-59 | |
| 1970 | Beaver Falls | Ambridge | 65-61 | |
| 1971 | Farrell | Clairton | 67-58 | |
| 1972 | Farrell | Laurel Highlands | 70-50 | |
| 1973 | Ringgold | General Braddock | 54-47 | |
| 1974 | Farrell | South Hills Catholic | 52-41 | |
| 1975 | Uniontown | Valley | 68-61 | |
| 1976 | Farrell | Valley | 58-53 | |
| 1977 | Fox Chapel | Beaver Falls | 50-46 | |
| 1978 | Belle Vernon | Norwin | 62-58 | |
| 1979 | Beaver Falls | Burrell | 55-54 | |
| 1980 | Beaver Falls | Connellsvile | 67-51 | |
| 1981 | Uniontown | Aliquippa | 80-67 | |
| 1982 | New Castle | Latrobe | 73-49 | |
| 1983 | McKeesport | Farrell | 57-52 | |
| 1984 | Beaver Falls | Sto-Rox | 60-45 | |
| 1985 | Beaver Falls | Ellwood City | 70-61 | |
| 1986 | Blackhawk | Ellwood City | 71-70 | |
| 1987 | Aliquippa | Blackhawk | 51-37 | |
| 1988 | Aliquippa | Thomas Jefferson | 79-59 | |
| 1989 | Seton-LaSalle | New Brighton | 58-53 | |
| 1990 | Blackhawk | Seton-LaSalle | 44-37 | |
| 1991 | Blackhawk | Seton-LaSalle | 84-52 | |
| 1992 | Blackhawk | Aliquippa | 81-62 | |
| 1993 | Valley | Seton-LaSalle | 52-45 | |
| 1994 | Beaver Falls | Blackhawk | 63-60, 2OT | |
| 1995 | Highlands | Blackhawk | 58-56 | |
| 1996 | Blackhawk | Chartiers Valley | 65-61 | |
| 1997 | Chartiers Valley | Blackhawk | 64-59 | |
| 1998 | Chartiers Valley | South Park | 57-48, OT | |
| 1999 | Blackhawk | South Park | 48-44 | |
| 2000 | Blackhawk | Pine-Richland | 73-50 | |
| 2001 | Brownsville | Blackhawk | 66-63 | Brackets |
| 2002 | Steel Valley | Highlands | 63-49 | Brackets |
| 2003 | Blackhawk | Hopewell | 66-59 | Brackets |
| 2004 | Moon | Knoch | 63-46 | Brackets |
| 2005 | Moon | Yough | 69-42 | Brackets |
| 2006 | Moon | Hampton | 51-50 | Brackets |
| 2007 | West Allegheny | Chartiers Valley | 62-58, 2OT | Brackets |
| 2008 | Blackhawk | Hopewell | 68-55 | Brackets |
| 2009 | Hampton | Highlands | 84-59 | Brackets |
| 2010 | Chartiers Valley | Hampton | 63-50 | Brackets |
| 2011 | Montour | South Fayette | 45-34 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1935 | Cecil | East McKeesport | 19-18 | |
| 1936 | Findlay Vocational | Glassport | 29-27 | |
| 1937 | Burgettstown | Bellevue | 37-25 | |
| 1938 | Verona | Bellevue | 48-33 | |
| 1939 | Monaca | New Wilmington | 33-30 | |
| 1940 | Point Marion | Monaca | 41-35 | |
| 1941 | Sharpsburg | Bentleyville | 41-39, OT | |
| 1942 | Monaca | Ligonier | 30-22 | |
| 1943 | New Wilmington | Glassport | 28-26 | |
| 1944 | Avalon | Clark | 42-36 | |
| 1945 | Etna | Avalon | 36-29 | |
| 1946 | Avalon | Rostraver | 58-45 | |
| 1947 | Irwin | Wampum | 61-44 | |
| 1948 | Irwin | Robinson | 53-38 | |
| 1949 | Oakmont | Carmichaels | 42-35 | |
| 1950 | Irwin | Avalon | 39-37 | |
| 1951 | Avalon | Irwin | 42-39 | |
| 1952 | Avalon | Arnold | 54-36 | |
| 1953 | Irwin | Wampum | 71-70 | |
| 1954 | Irwin | Avonworth | 61-44 | |
| 1955 | Wampum | Bethlehem Joint | 75-63 | |
| 1956 | East Pittsburgh | McDonald | 59-555, OT | |
| 1957 | Shannock Valley | Wampum | 73-58 | |
| 1958 | Wampum | Bethlehem Joint | 69-57 | |
| 1959 | Avonworth | McDonald | 77-63 | |
| 1960 | Wampum | Etna | 47-27 | |
| 1961 | Fort Cherry | Wampum | 77-56 | |
| 1962 | Edgewood | Avonworth | 52-39 | |
| 1963 | Bentleyville-Ellsworth | Edgewood | 49-48 | |
| 1964 | Coraopolis | Trafford | 63-47 | |
| 1965 | Coraopolis | Braddock | 68-54 | |
| 1966 | Braddock | Coraopolis | 54-51 | |
| 1967 | Turtle Creek | Freeport | 77-56 | |
| 1968 | Tarentum | Albert Gallatin | 74-58 | |
| 1969 | Frazier | Center | 69-56 | |
| 1970 | Mohawk | California | 65-56 | |
| 1971 | Midland | Homestead | 65-42 | |
| 1972 | Monaca | West Mifflin South | 68-64 | |
| 1973 | Midland | Washington | 73-59 | |
| 1974 | Midland | Duquesne | 76-65 | |
| 1975 | Midland | Frazier | 70-60 | |
| 1976 | Midland | Turtle Creek | 61-45 | |
| 1977 | Midland | Bishop Boyle | 75-71 | |
| 1978 | Clairton | Slippery Rock | 67-61 | |
| 1979 | Midland | Ford City | 48-47 | |
| 1980 | New Brighton | Clairton | 70-46 | |
| 1981 | Sto-Rox | Clairton | 61-53 | |
| 1982 | Bishop Boyle | Seton-LaSalle | 83-65 | |
| 1983 | Sto-Rox | Freedom | 67-35 | |
| 1984 | Washington | Wilkinsburg | 57-54 | |
| 1985 | Washington | Springdale | 69-60 | |
| 1986 | Washington | Neshannock | 90-62 | |
| 1987 | Wilmington | Bentworth | 88-62 | |
| 1988 | Carlynton | Northgate | 76-57 | |
| 1989 | Springdale | Brentwood | 76-74 | |
| 1990 | Washington | New Brighton | 76-63 | |
| 1991 | Sto-Rox | Serra Catholic | 53-45 | |
| 1992 | Sto-Rox | Carlynton | 53-50, OT | |
| 1993 | Sto-Rox | Farrell | 51-46 | |
| 1994 | Aliquippa | Brentwood | 85-71 | |
| 1995 | Sto-Rox | Shady Side Academy | 64-54 | |
| 1996 | Shenango | Shady Side Academy | 57-49 | |
| 1997 | Quaker Valley | New Brighton | 57-49 | |
| 1998 | Aliquippa | Shady Side Academy | 58-50 | |
| 1999 | Shady Side Academy | Farrell | 49-46 | |
| 2000 | Aliquippa | Seton-LaSalle | 69-53 | |
| 2001 | Sto-Rox | Shady Side Academy | 41-38 | Brackets |
| 2002 | Sto-Rox | Beaver Falls | 49-45 | Brackets |
| 2003 | Aliquippa | Sto-Rox | 69-62 | Brackets |
| 2004 | Aliquippa | Beaver Falls | 70-64 | Brackets |
| 2005 | Beaver Falls | Aliquippa | 79-78, 3OT | Brackets |
| 2006 | Aliquippa | Bishop Canevin | 57-52 | Brackets |
| 2007 | Aliquippa | Jeannette | 73-69 | Brackets |
| 2008 | Jeannette | Beaver Falls | 82-68 | Brackets |
| 2009 | North Catholic | Jeannette | 51-44 | Brackets |
| 2010 | North Catholic | Rochester | 51-48 | Brackets |
| 2011 | Monessen | Greensburg Central Catholic | 63-43 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1972 | Mapletown | |||
| 1973 | Edgewood | German | 51-49 | |
| 1974 | German | Edgewood | 68-58 | |
| 1975 | Uniontown St. John | Edgewood | 82-60 | |
| 1976 | Braddock St. Thomas | Uniontown St. John | 61-54 | |
| 1977 | Braddock St. Thomas | Geibel | 57-51 | |
| 1978 | Geibel | Shannock Valley | 53-44 | |
| 1979 | Cornell | Bentworth | 50-49 | |
| 1980 | Geibel | Fairchance-Georges | 73-56 | |
| 1981 | Cornell | Monaca | 60-54 | |
| 1982 | Monaca | Serra Catholic | 61-59 | |
| 1983 | Rochester | Cornell | 63-62 | |
| 1984 | Cornell | Geibel | 68-55 | |
| 1985 | Lawrenceville Catholic | Midland | 64-51 | |
| 1986 | Duquesne | Lawrenceville Catholic | 67-63 | |
| 1987 | Neshannock | Monessen | 81-80, 3OT | |
| 1988 | Frew Mill | Elderton | 75-65 | |
| 1989 | Cornell | Union | 95-88, OT | |
| 1990 | Clairton | Cornell | 85-82, OT | |
| 1991 | Clairton | Monessen | 79-56 | |
| 1992 | Duquesne | O.L. Sacred Heart | 79-60 | |
| 1993 | Duquesne | Monessen | 59-55 | |
| 1994 | Duquesne | O.L. Sacred Heart | 70-57 | |
| 1995 | Monessen | Duquesne | 67-57 | |
| 1996 | Duquesne | Rochester | 60-58 | |
| 1997 | Clairton | Sewickley Academy | 69-55 | |
| 1998 | Clairton | Vincentian Academy | 87-61 | |
| 1999 | Duquesne | O.L. Sacred Heart | 63-53 | |
| 2000 | Cornell | Duquesne | 53-51 | |
| 2001 | Monessen | Vincentian Academy | 59-52 | Brackets |
| 2002 | Monessen | Duquesne | 77-72, OT | Brackets |
| 2003 | Union | Clairton | 52-48 | Brackets |
| 2004 | Sewickley Academy | Vincentian Academy | 56-39 | Brackets |
| 2005 | Duquesne | St. Joseph | 54-52 | Brackets |
| 2006 | Clairton | Duquesne | 59-54, OT | Brackets |
| 2007 | Leechburg | California | 60-59 | Brackets |
| 2008 | Serra Catholic | Wilkinsburg | 76-61 | Brackets |
| 2009 | Sewickley Academy | Serra Catholic | 71-57 | Brackets |
| 2010 | Sewickley Academy | Lincoln Park | 49-48 | Brackets |
| 2011 | Vincentian | Lincoln Park | 67-61 | Brackets |