| Year | Champion | Runner-Up | Score | Brackets |
| 1984 | Seton-LaSalle | Strath-Haven | 55-53 | |
| 1985 | Beaver Falls | Plymouth-Whitemarsh | 56-45 | |
| 1986 | Altoona | Downingtown | 59-40 | |
| 1987 | Downingtown | Altoona | 51-45 | |
| 1988 | Altoona | Wissahickon | 39-36 | |
| 1989 | Sacred Heart | Allentown Central Catholic | 82-66 | |
| 1990 | Penn Hills | Lancaster McCaskey | 86-39 | |
| 1991 | Downingtown | Penn Hills | 69-53 | |
| 1992 | Downingtown | Penn Hills | 74-69 | |
| 1993 | Oakland Catholic | Downingtown | 57-53 | |
| 1994 | Coatesville | Altoona | 68-58 | |
| 1995 | Altoona | Allentown Central Catholic | 54-37 | |
| 1996 | Altoona | Northampton | 55-48 | |
| 1997 | Downingtown | Woodland Hills | 55-52 | |
| 1998 | Downingtown | Altoona | 63-36 | |
| 1999 | Upper St. Clair | Cheltenham | 62-56 | |
| 2000 | Cheltenham | Oakland Catholic | 54-52 | |
| 2001 | Oakland Catholic | Council Rock | 70-52 | Brackets |
| 2002 | Cumberland Valley | Oakland Catholic | 54-44 | Brackets |
| 2003 | Oakland Catholic | Downingtown | 55-41 | Brackets |
| 2004 | Mercyhurst Prep | Harrisburg | 57-41 | Brackets |
| 2005 | Oakland Catholic | Cheltenham | 55-37 | Brackets |
| 2006 | Parkland | Council Rock North | 54-40 | Brackets |
| 2007 | Cheltenham | Council Rock North | 58-54 | Brackets |
| 2008 | Central Dauphin | Mt. Lebanon | 56-49 | Brackets |
| 2009 | Mt. Lebanon | Cardinal O'Hara | 67-58 | Brackets |
| 2010 | Mt. Lebanon | Archbishop Ryan | 70-43 | Brackets |
| 2011 | Mt. Lebanon | Archbishop Carroll | 47-46 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1973 | Allentown Central Catholic | Sharpsville | 65-38 | |
| 1974 | Lancaster Catholic | Baldwin | 75-32 | |
| 1975 | Allentown Dieruff | Elizabeth Forward | 60-33 | |
| 1976 | Allentown Dieruff | Bradford | 53-42 | |
| 1977 | Norristown | Elizabeth Forward | 58-50 | |
| 1978 | Allentown Central Catholic | Mt. Lebanon | 53-52 | |
| 1979 | Franklin Regional | Lancaster McCaskey | 68-42 | |
| 1980 | Shaler | Lancaster McCaskey | 60-38 | |
| 1981 | Allentown Allen | Altoona | 53-39 | |
| 1982 | Lancaster McCaskey | Villa Maria | 65-31 | |
| 1983 | Nether Providence | Indiana | 41-31 | |
| 1984 | North Catholic | Bishop McDevitt | 52-51 | |
| 1985 | Deer Lakes | Palmyra | 45-43 | |
| 1986 | Mercyhurst Prep | Valley View | 42-38 | |
| 1987 | Allentown Central Catholic | Beaver Falls | 59-42 | |
| 1988 | North Catholic | Lancaster Catholic | 59-52 | |
| 1989 | Lancaster Catholic | North Catholic | 65-49 | |
| 1990 | Nanticoke | Beaver Falls | 77-67 | |
| 1991 | Mercyhurst Prep | Allentown Central Catholic | 67-55 | |
| 1992 | North Schuylkill | North Catholic | 73-68 | |
| 1993 | North Catholic | Bethlehem Catholic | 62-52 | |
| 1994 | North Catholic | Bishop Hoban | 61-22 | |
| 1995 | North Catholic | North Schuylkill | 63-56 | |
| 1996 | Lancaster Catholic | North Catholic | 68-49 | |
| 1997 | Lewistown | North Schuylkill | 53-45 | |
| 1998 | Lewistown | Berwick | 71-57 | |
| 1999 | Blackhawk | Montoursville | 71-54 | |
| 2000 | Blackhawk | Montoursville | 67-52 | |
| 2001 | Allentown C.C. | West Mifflin | 56-45 | Brackets |
| 2002 | Allentown C.C. | Erie Villa Maria | 45-33 | Brackets |
| 2003 | Allentown C.C. | Erie Villa Maria | 52-43 | Brackets |
| 2004 | Allentown C.C. | Lewistown | 47-42 | Brackets |
| 2005 | Mercyhurst Prep | St. Basil | 57-33 | Brackets |
| 2006 | Hopewell | Allentown C.C. | 57-40 | Brackets |
| 2007 | Hopewell | Villa Maria Academy | 37-36 | Brackets |
| 2008 | Mount St. Joseph | Mercyhurst Prep | 53-43 | Brackets |
| 2009 | Archbishop Carroll | Lampeter-Strasburg | 68-45 | Brackets |
| 2010 | Archbishop Wood | Indiana | 49-39 | Brackets |
| 2011 | Archbishop Wood | Mercyhurst Prep | 53-41 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1976 | Darby-Colwyn | Union-Rimersburg | 50-38 | |
| 1977 | Carbondale | Mars | 62-42 | |
| 1978 | Tamaqua | Brentwood | 70-49 | |
| 1979 | Susquehanna Township | Brentwood | 64-52 | |
| 1980 | North Catholic | Susquehanna Township | 59-51 | |
| 1981 | Susquehanna Township | Sharpsville | 51-25 | |
| 1982 | Brentwood | Riverside (Dist. 2) | 50-47 | |
| 1983 | North Catholic | Bishop McDevitt | 56-51 | |
| 1984 | Bishop Guilfoyle | Pine Grove | 64-63 | |
| 1985 | Bishop McCort | Pine Grove | 73-49 | |
| 1986 | Trinity (Dist. 3) | Bishop McCort | 56-51 | |
| 1987 | Riverside (Dist. 2) | Bishop Guilfoyle | 46-44 | |
| 1988 | Catasauqua | Bishop McCort | 58-42 | |
| 1989 | Aliquippa | Trinity (Dist. 3) | 57-47 | |
| 1990 | Aliquippa | Trinity (Dist. 3) | 89-62 | |
| 1991 | Bishop Guilfoyle | Delone Catholic | 70-43 | |
| 1992 | Cranberry | Trinity (Dist. 3) | 64-57 | |
| 1993 | Cranberry | Reading Holy Name | 57-55 | |
| 1994 | Cranberry | Dunmore | 44-43 | |
| 1995 | Merion Mercy | Bishop Guilfoyle | 58-43 | |
| 1996 | Pine Grove | Greensburg Central Catholic | 67-59, OT | |
| 1997 | Greensburg Central Catholic | Trinity (Dist. 3) | 48-45 | |
| 1998 | Girard | Elco | 45-34 | |
| 1999 | Bishop Hoban | Girard | 46-42 | |
| 2000 | Karns City | Bishop Hoban | 53-49 | |
| 2001 | Trinity (Dist. 3) | Vincentian | 67-58 | Brackets |
| 2002 | Vincentian | Trinity (Dist. 3) | 45-37 | Brackets |
| 2003 | Delone Catholic | Girard | 50-41 | Brackets |
| 2004 | Delone Catholic | Bishop Guilfoyle | 46-33 | Brackets |
| 2005 | Delone Catholic | Westmont Hilltop | 47-43 | Brackets |
| 2006 | York Catholic | Westmont Hilltop | 48-43 | Brackets |
| 2007 | York Catholic | Erie Villa Maria | 58-44 | Brackets |
| 2008 | York Catholic | Northern Cambria | 52-40 | Brackets |
| 2009 | Erie Villa Maria | York Catholic | 56-51 | Brackets |
| 2010 | Erie Villa Maria | York Catholic | 52-44 | Brackets |
| 2011 | Erie Villa Maria | Dunmore | 62-39 | Brackets |
| Year | Champion | Runner-Up | Score | Brackets |
| 1978 | Pottsville Nativity | Johnsonburg | 46-41 | |
| 1979 | York Catholic | Johnsonburg | 51-41 | |
| 1980 | Venango Christian | Pine Grove | 37-33 | |
| 1981 | Conneaut Lake | Mid Valley | 45-32 | |
| 1982 | Pine Grove | Lakeview | 57-45 | |
| 1983 | Mount Alvernia | Trinity (Dist. 3) | 78-52 | |
| 1984 | Marian Catholic | Kennedy Christian | 64-49 | |
| 1985 | Schuylkill Haven | Linesville | 47-28 | |
| 1986 | Linesville | Columbia | 55-48 | |
| 1987 | Bishop Carroll | Marian Catholic | 58-42 | |
| 1988 | Mahanoy Area | Ferndale | 74-53 | |
| 1989 | Mahanoy Area | St. Francis | 67-50 | |
| 1990 | Pottsville Nativity | Bellwood-Antis | 54-40 | |
| 1991 | McConnellsburg | Pottsville Nativity | 66-60 | |
| 1992 | Lebanon Catholic | Clairton | 75-57 | |
| 1993 | Bishop Guilfoyle | Lourdes Regional | 52-26 | |
| 1994 | Lourdes Regional | Bishop Guilfoyle | 41-32 | |
| 1995 | Lebanon Catholic | Williamsburg | 50-46 | |
| 1996 | Elkland | Bishop Carroll | 56-44 | |
| 1997 | Williamsburg | Marian Catholic | 55-43 | |
| 1998 | Mahanoy Area | Bishop Carroll | 54-33 | |
| 1999 | Pottsville Nativity | Bishop Guilfoyle | 74-67 | |
| 2000 | Pottsville Nativity | Saegertown | 64-54 | |
| 2001 | Kennedy Christian | Pottsville Nativity | 48-46 | Brackets |
| 2002 | Bishop Carroll | Pottsville Nativity | 59-44 | Brackets |
| 2003 | Bishop Carroll | Marian Catholic | 47-33 | Brackets |
| 2004 | Monessen | Pottsville Nativity | 70-48 | Brackets |
| 2005 | Serra Catholic | Marian Catholic | 53-44 | Brackets |
| 2006 | Pottsville Nativity | Conemaugh Valley | 53-49 | Brackets |
| 2007 | Bishop Guilfoyle | North Catholic | 43-38 | Brackets |
| 2008 | Marian Catholic | Mount Alvernia | 40-34 | Brackets |
| 2009 | Bishop Guilfoyle | Pottsville Nativity | 49-27 | Brackets |
| 2010 | Bishop Guilfoyle | Northern Cambria | 49-29 | Brackets |
| 2011 | Steelton-Highspire | Bishop Guilfoyle | 73-60 | Brackets |