The following are the winners of the 45th annual (2019) Origins Award:
| Category | Winner | Company | Designer(s) |
|---|---|---|---|
| Game of the Year | Root [1] [2] | Leder Games [1] | Cole Wehrle [2] |
| Best Board Game | Root [1] [2] | Leder Games [1] | Cole Wehrle [2] |
| Best Card Game | The Mind [1] [2] | Pandasaurus Games [1] | Wolfgang Warsch |
| Best Family Game | The Tea Dragon Society Card Game [1] [2] | Renegade Game Studios [1] | Steve Ellis (II), Tyler Tinsley |
| Best Collectible Game | KeyForge [1] [2] | Fantasy Flight Games [1] | Richard Garfield [2] |
| Best Role-Playing Game | Vampire: The Masquerade [1] [2] | Modiphius Entertainment [1] | Kenneth Hite |
| Best Role-Playing Game Supplement | Dungeons & Dragons: Mordenkainen's Tome of Foes [1] [2] | Wizards of the Coast [1] | |
| Best Miniatures Game | Necromunda [1] [2] | Games Workshop [1] | |
| and also | Star Wars Legion [1] [2] | Fantasy Flight Games [1] | |
| Best Game Accessory | Dungeons & Dragons: Black Dragon Trophy Plaque [1] [2] | WizKids [1] |
| Category | Winner | Company | Designer(s) |
|---|---|---|---|
| Fan Favourite Board Game | Root [2] | Leder Games | Cole Wehrle |
| Fan Favourite Card Game | The Mind [2] | Pandasaurus Games | Wolfgang Warsch |
| Fan Favourite Family Game | Echidna Shuffle [2] | Wattsalpoag Games | Kris Gould |
| Fan Favourite Collectible Game | KeyForge [2] | Fantasy Flight Games | Richard Garfield |
| Fan Favourite Role-Playing Game | Vampire: The Masquerade [2] | Modiphius Entertainment | Kenneth Hite |
| Fan Favourite Role-Playing Game Supplement | Dungeons & Dragons: Mordenkainen’s Tome of Foes [2] | Wizards of the Coast | |
| Fan Favourite Miniatures Game | Star Wars Legion [2] | Fantasy Flight Games | |
| Fan Favourite Game Accessory | Dungeons & Dragons: Monster Cards [2] | Gale Force Nine |
The academy enlisted two designers and games in Academy of Adventure Gaming Arts & Design Hall of Fame.
Jamey Stegmaier won a new award of Rising Star. [2]