| Season | Regular season champion | Tournament champion | Score | Tournament runner-up | Venue | City |
|---|
| 1949 | Western Kentucky (8–2) | Western Kentucky | | | Jefferson County Armory | Louisville, Kentucky |
| 1950 | Western Kentucky (8–0) | Eastern Kentucky | | |
| 1951 | Murray State (9–3) | Murray State | | |
| 1952 | Western Kentucky (9–1) | Western Kentucky | | |
| 1953 | Eastern Kentucky (9–1) | Western Kentucky | | |
| 1954 | Western Kentucky (9–1) | Western Kentucky | | |
| 1955 | Western Kentucky (8–2) | Eastern Kentucky | | |
| 1956 | Morehead State/Tennessee Tech/Western Kentucky (7–3) | None | None | None | None | None |
| 1957 | Morehead State/Western Kentucky (9–1) |
| 1958 | Tennessee Tech (8–2) |
| 1959 | Eastern Kentucky (10–2) |
| 1960 | Western Kentucky (10–2) |
| 1961 | Morehead State/Western Kentucky/Eastern Kentucky (9–3) |
| 1962 | Western Kentucky (11–1) |
| 1963 | Tennessee Tech/Morehead State (8–4) |
| 1964 | Murray State (11–3) | Murray State | | | Jefferson County Armory | Louisville, Kentucky |
| 1965 | Eastern Kentucky (13–1) | Western Kentucky | | |
| 1966 | Western Kentucky (14–0) | Western Kentucky | | |
| 1967 | Western Kentucky (13–1) | Tennessee Tech | | |
| 1968 | East Tennessee/Murray St (11–3) | None | None | None |
| 1969 | Murray State/Morehead State (11–3) |
| 1970 | Western Kentucky (14–0) |
| 1971 | Western Kentucky (12–2) |
| 1972 | Eastern Kentucky/Morehead State/Western Kentucky (9–5) |
| 1973 | Austin Peay (11–3) |
| 1974 | Austin Peay/Morehead State (10–4) |
| 1975 | Middle Tennessee (12–2) | Middle Tennessee | 89–75 | Austin Peay | Murphy Center | Murfreesboro, Tennessee |
| 1976 | Western Kentucky (11–3) | Western Kentucky | 65–60 | Morehead State | E.A. Diddle Arena | Bowling Green, Kentucky |
| 1977 | Austin Peay (13–1) | Middle Tennessee | 77–65 | Austin Peay | Dunn Center | Clarksville, Tennessee |
| 1978 | Middle Tennessee/East Tennessee (10–4) | Western Kentucky | 77–69 | Austin Peay | E. A. Diddle Arena | Bowling Green, Kentucky |
| 1979 | Eastern Kentucky (9–3) | Eastern Kentucky | 78–77 | Western Kentucky | McBrayer Arena | Richmond, Kentucky |
| 1980 | Western Kentucky/Murray St (10–2) | Western Kentucky | 54–51 | Murray State | E. A. Diddle Arena | Bowling Green, Kentucky |
| 1981 | Western Kentucky (12–2) | Western Kentucky | 71–67 | Murray State |
| 1982 | Murray State/Western Kentucky (13–3) | Middle Tennessee | 54–52 | Western Kentucky |
| 1983 | Murray State (11–3) | Morehead State | 81–65 | Akron | Racer Arena | Murray, Kentucky |
| 1984 | Morehead State (12–2) | Morehead State | 47–44 | Youngstown State | Ellis Johnson Arena | Morehead, Kentucky |
| 1985 | Tennessee Tech (11–3) | Middle Tennessee | 66–63 | Youngstown State | Murphy Center | Murfreesboro, Tennessee |
| 1986 | Akron/Middle Tennessee (10–4) | Akron | 68–63 | Middle Tennessee | James A. Rhodes Arena | Akron, Ohio |
| 1987 | Middle Tennessee (11–3) | Austin Peay | 71–68 | Eastern Kentucky | Murphy Center | Murfreesboro, Tennessee |
| 1988 | Murray State (13–1) | Murray State | 73–70 | Austin Peay | Racer Arena | Murray, Kentucky |
| 1989 | Middle Tennessee/Murray St (10–2) | Middle Tennessee | 82–79 | Austin Peay | First round at campus locations; rest at Nashville Municipal Auditorium | Nashville, Tennessee |
| 1990 | Murray State (10–2) | Murray State | 73–67 | Eastern Kentucky | Racer Arena | Murray, Kentucky |
| 1991 | Murray State (10–2) | Murray State | 79–67 | Middle Tennessee |
| 1992 | Murray State (11–3) | Murray State | 81–60 | Eastern Kentucky | Rupp Arena | Lexington, Kentucky |
| 1993 | Tennessee State (13–3) | Tennessee State | 82–68 | Murray State |
| 1994 | Murray State (15–1) | Tennessee State | 73–72 | Murray State | Nashville Municipal Auditorium | Nashville, Tennessee |
| 1995 | Murray State/Tennessee State (11–5) | Murray State | 92–84 | Austin Peay |
| 1996 | Murray State (12–4) | Austin Peay | 70–68 | Murray State |
| 1997 | Murray State/Austin Peay (12–6) | Murray State | 88–85 (OT) | Austin Peay | Gaylord Entertainment Center |
| 1998 | Murray State (16–2) | Murray State | 92–69 | Tennessee State |
| 1999 | Murray State (16–2) | Murray State | 62–61 | Southeast Missouri State |
| 2000 | Southeast Missouri/Murray St (14–4) | Southeast Missouri | 67–56 | Murray State |
| 2001 | Tennessee Tech (13–3) | Eastern Illinois | 84–83 | Austin Peay |
| 2002 | Tennessee Tech (15–1) | Murray State | 70–69 | Tennessee Tech | Commonwealth Convention Center | Louisville, Kentucky |
| 2003 | Austin Peay/Morehead State (13–3) | Austin Peay | 63–57 | Tennessee Tech | Gaylord Entertainment Center | Nashville, Tennessee |
| 2004 | Austin Peay (16–0) | Murray State | 66–60 | Austin Peay | Nashville Municipal Auditorium |
| 2005 | Tennessee Tech (12–4) | Eastern Kentucky | 52–46 | Austin Peay | Gaylord Entertainment Center |
| 2006 | Murray State (17–3) | Murray State | 74–57 | Samford | First round games at campus sites; rest at Gaylord Entertainment Center |
| 2007 | Austin Peay (16–4) | Eastern Kentucky | 63–62 | Austin Peay |
| 2008 | Austin Peay (16–4) | Austin Peay | 82–64 | Tennessee State | First round games at campus sites; rest at Nashville Municipal Auditorium |
| 2009 | Tennessee Martin (14–4) | Morehead State | 67–65 (2OT) | Austin Peay | First round games at campus sites; rest at Sommet Center |
| 2010 | Murray State (17–1) | Murray State | 62–51 | Morehead State |
| 2011 | Murray State (14–4) | Morehead State | 80–73 | Tennessee Tech | Nashville Municipal Auditorium |
| 2012 | Murray State (15–1) | Murray State | 54–52 | Tennessee State |
| 2013 | East: Belmont (14–2)
West: Murray State (10–6) | Belmont | 70–68 (OT) | Murray State |
| 2014 | East: Belmont (14–2)
West: Murray State (13–3) | Eastern Kentucky | 79–73 | Belmont |
| 2015 | East: Belmont (11–5)
West: Murray State (16–0) | Belmont | 88–87 | Murray State |
| 2016 | East: Belmont (12–4)
West: Tennessee-Martin (10–6) | Austin Peay | 83–73 | Tennessee–Martin |
| 2017 | East: Belmont (15–1)
West: Tennessee-Martin (10–6) | Jacksonville State | 66–55 | UT Martin |
| 2018 | Murray State (15–2) | Murray State | 68–51 | Belmont | Ford Center | Evansville, Indiana |
| 2019 | Belmont/Murray State (16–2) | Murray State | 77–65 | Belmont |
| 2020 | Belmont/Murray State (15–3) | Belmont | 76–75 | Murray State |
| 2021 | Belmont (18–2) | Morehead State | 86–71 | Belmont |
| 2022 | Murray State (18–0) | Murray State | 71–67 | Morehead State |
| 2023 | Morehead State (14–4) | Southeast Missouri | 89–82 (OT) | Tennessee Tech |
| 2024 | Little Rock/Tennessee Martin/Morehead State (14–4) | Morehead State | 69–55 | Little Rock |
| 2025 | Southeast Missouri State (15–5) | SIU Edwardsville | 69–48 | Southeast Missouri State |
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