| Regional Tournament History |
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| 2024 |
| Class: 4A Area: 12 | | Area | Hamilton 65-18 Curry | | Area | Hamilton 57-36 Cordova | | Region NW Championship | | Sub-Regional | Hamilton 52-53 Rogers | | Regional | Hamilton 42-47 Priceville |
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| 2023 |
| Class: 4A Area: 12 | | Area | Hamilton 53-38 Haleyville | | Area | Hamilton 72-36 Cordova | | Region NW Championship | | Sub-Regional | Hamilton 58-79 Priceville |
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| 2022 |
| Class: 4A Area: 12 | | Area | Hamilton - Bye | | Area | Hamilton 48-22 Haleyville | | Region NW Championship | | Sub-Regional | Hamilton 59-42 Oneonta | | Regional | Hamilton 42-72 Deshler |
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| 2021 |
| Class: 4A Area: 12 | | Area | Hamilton 60-42 Haleyville | | Region NW Championship | | Sub-Regional | Hamilton 59-47 Oneonta | | Regional | Hamilton 51-63 Rogers |
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| 2020 |
| Class: 5A Area: 14 | | Area | Hamilton 62-54 Lawrence County | | Area | Hamilton 43-72 West Point | | Region NW Championship | | Sub-Regional | Hamilton 28-72 Madison Academy |
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| 2019 |
| Class: 5A Area: 14 | | Area | Hamilton 64-54 Lawrence County | | Area | Hamilton 40-88 West Point | | Region NW Championship | | Sub-Regional | Hamilton 21-52 Madison Academy |
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| 2018 |
| Class: 4A Area: 11 | | Area | Hamilton 30-67 Haleyville |
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| 2017 |
| Class: 4A Area: 11 | | Area | Hamilton 47-57 Haleyville |
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| 2016 |
| Class: 4A Area: 13 | | Area | Hamilton 48-50 Haleyville |
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| 2015 |
| Class: 4A Area: 13 | | Area | Hamilton 43-46 Danville | | Region Championship | | Sub-Regional | Hamilton 43-72 Deshler |
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| 2014 |
| Class: 3A Area: 14 | | Area | Hamilton 59-49 Cordova | | Area | Hamilton 36-48 Winfield | | Region NE Championship | | Sub-Regional | Hamilton 32-46 Good Hope |
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| 2013 |
| Class: 3A Area: 14 | | Area | Hamilton 47-49 Cordova |
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| 2012 |
| Class: 3A Area: 11 | | Area | Hamilton 35-43 Carbon Hill |
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| 2011 |
| Class: 3A Area: 11 | | Area | Hamilton 50-29 Carbon Hill | | Area | Hamilton 33-75 Winfield | | Region NW Championship | | Sub-Regional | Hamilton 45-67 Holly Pond |
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| 2010 |
| Class: 3A Area: 11 | | Area | Hamilton 21-60 Winfield |
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| 2009 |
| Class: 3A Area: 11 | | Area | Hamilton 47-49 Danville |
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| 2008 |
| Class: 4A Area: 9 | | Area | Hamilton 60-77 Dora |
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| 2007 |
| Class: 4A Area: 9 | | Area | Hamilton 56-43 Dora | | Area | Hamilton 48-74 Haleyville | | Region NW Championship | | Sub-Regional | Hamilton 42-91 Deshler |
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| 2006 |
| Class: 4A Area: 13 | | Area | Hamilton 51-67 Dora |
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| 2005 |
| Class: 4A Area: 13 | | Area | Hamilton 43-71 Haleyville |
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| 2004 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 Fayette County |
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| 2003 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 | | Area | Hamilton 43-55 Fayette County | | Region NW Championship | | Sub-Regional | Hamilton 36-59 Douglas |
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| 2002 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 Winfield |
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| 2001 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 Haleyville |
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| 2000 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 | | Area | Hamilton 41-56 Winfield | | Region NW Championship | | Sub-Regional | Hamilton 65-64 Dora | | Regional | Hamilton 51-59 West Point |
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| 1999 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 | | Area | Hamilton 38-53 Winfield | | Region NW Championship | | Sub-Regional | Hamilton 76-70 Dora | | Regional | Hamilton 37-78 Deshler |
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| 1998 |
| Class: 4A Area: 15 | | Area | Hamilton 0-0 East Lawrence |
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| 1996 |
| Class: 4A Area: 14 | | Area | Hamilton 43-46 Haleyville | | Area | Hamilton 0-0 | | Region NW Championship | | Sub-Regional | Hamilton 61-59 Fairview | | Regional | Hamilton 45-67 East Lawrence |
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| 1995 |
| Class: 4A | | Sub-Regional | Hamilton 75-87 East Lawrence | | Sub-Regional | Hamilton 46-39 Wilson |
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| 1994 |
| Class: 4A Area: 11 | | Area | Hamilton 61-48 Fayette County | | Area | Hamilton 47-61 Haleyville | | Region NW Championship | | Sub-Regional | Hamilton 46-62 Sheffield |
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| 1993 |
| Class: 4A Area: 11 | | Area | Hamilton 0-0 | | Area | Hamilton 0-0 Haleyville | | Region S3 Championship | | Sub-State | Hamilton 49-44 Fairview | | Sub-State Finals | Hamilton 41-31 Tarrant | | SS3 | Hamilton 41-43 Cherokee County |
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| 1992 |
| Class: 5A Area: 14 | | Area | Hamilton 0-0 Bye | | Area | Hamilton 0-0 Fayette County | | Region S4 Championship | | Sub-State | Hamilton 64-58 Cullman | | Sub-State Finals | Hamilton 58-68 Athens |
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| 1991 |
| Class: 5A Area: 14 | | Area | Hamilton 0-0 Bye | | Area | Hamilton 0-0 Fayette County | | Region S4 Championship | | Sub-State | Hamilton 61-46 Arab | | Sub-State Finals | Hamilton 74-54 Athens | | SS3 | Hamilton 69-68 Sparkman |
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| 1990 |
| Class: 5A Area: 14 | | Area | Hamilton 80-73 Fayette County | | Area | Hamilton 0-0 | | Region S4 Championship | | Sub-State | Hamilton 81-58 Guntersville | | Sub-State Finals | Hamilton 70-57 Sparkman | | SS3 | Hamilton 62-55 Athens |
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| 1989 |
| Class: 5A Area: 14 | | Area | Hamilton 0-0 | | Area | Hamilton 62-59 Fayette County | | Region S4 Championship | | Sub-State | Hamilton 77-63 Guntersville | | Sub-State Finals | Hamilton 45-78 Coffee |
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| 1988 |
| Class: 5A Area: 13 | | Area | Hamilton 0-0 | | Area | Hamilton 0-0 Cullman | | Region S4 Championship | | Sub-State | Hamilton 64-81 Bradshaw |
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| 1987 |
| Class: 5A Area: 13 | | Area | Hamilton 0-0 | | Area | Hamilton 0-0 Cullman | | Region S4 Championship | | Sub-State | Hamilton 54-72 Bradshaw |
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