| Regional Tournament History |
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| 2024 |
| Class: 2A Area: 16 | | Area | Lexington 46-28 Sheffield | | Area | Lexington 47-71 Mars Hill | | Region NW Championship | | Sub-Regional | Lexington 49-67 Decatur Heritage Christian |
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| 2023 |
| Class: 2A Area: 16 | | Area | Lexington 58-49 Hatton | | Area | Lexington 65-77 Mars Hill | | Region NW Championship | | Sub-Regional | Lexington 33-37 Sulligent |
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| 2022 |
| Class: 2A Area: 16 | | Area | Lexington 65-28 Sheffield | | Area | Lexington 45-36 Mars Hill | | Region NW Championship | | Sub-Regional | Lexington 44-50 Hatton |
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| 2021 |
| Class: 2A Area: 16 | | Area | Lexington 80-23 Sheffield | | Area | Lexington 42-32 Mars Hill | | Region NW Championship | | Sub-Regional | Lexington 59-52 Tanner | | Regional | Lexington 40-58 Falkville |
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| 2020 |
| Class: 3A Area: 16 | | Area | Lexington 55-38 Clements | | Area | Lexington 46-59 Lauderdale County | | Region NW Championship | | Sub-Regional | Lexington 26-32 Phil Campbell |
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| 2019 |
| Class: 3A Area: 16 | | Area | Lexington 62-53 Clements | | Area | Lexington 45-46 Lauderdale County | | Region NW Championship | | Sub-Regional | Lexington 45-60 Phil Campbell |
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| 2018 |
| Class: 3A Area: 16 | | Area | Lexington 48-53 Colbert County |
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| 2017 |
| Class: 3A Area: 16 | | Area | Lexington 39-50 Colbert County |
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| 2016 |
| Class: 3A Area: 16 | | Area | Lexington 66-58 Colbert Heights | | Area | Lexington 58-55 Colbert County | | Region NW Championship | | Sub-Regional | Lexington 61-31 Oakman | | Regional | Lexington 62-59 Madison Academy | | Regional Finals | Lexington 35-62 Lauderdale County |
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| 2015 |
| Class: 3A Area: 16 | | Area | Lexington 0-0 Colbert Heights | | Area | Lexington 37-40 Colbert County | | Region Championship | | Sub-Regional | Lexington 45-51 Winfield |
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| 2014 |
| Class: 2A Area: 15 | | Area | Lexington 55-37 Hatton | | Area | Lexington 45-58 Tanner | | Region NE Championship | | Sub-Regional | Lexington 41-52 Red Bay |
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| 2013 |
| Class: 2A Area: 15 | | Area | Lexington 46-25 Sheffield | | Area | Lexington 38-40 Tanner | | Region NW Championship | | Sub-Regional | Lexington 36-44 Red Bay |
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| 2012 |
| Class: 2A Area: 16 | | Area | Lexington 50-51 Hatton |
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| 2011 |
| Class: 2A Area: 16 | | Area | Lexington 50-39 Mars Hill | | Area | Lexington 59-55 Hatton | | Region NW Championship | | Sub-Regional | Lexington 61-33 Westminster Christian | | Regional | Lexington 31-32 Red Bay |
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| 2010 |
| Class: 2A Area: 16 | | Area | Lexington 41-55 Tanner |
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| 2009 |
| Class: 2A Area: 16 | | Area | Lexington 62-71 Tanner |
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| 2008 |
| Class: 3A Area: 16 | | Area | Lexington 57-18 Colbert County | | Area | Lexington 60-52 Sheffield | | Region NW Championship | | Sub-Regional | Lexington 51-52 Elkmont |
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| 2007 |
| Class: 3A Area: 16 | | Area | Lexington 65-19 Colbert County | | Area | Lexington 61-62 Sheffield | | Region NW Championship | | Sub-Regional | Lexington 55-56 Lauderdale County |
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| 2006 |
| Class: 2A Area: 15 | | Area | Lexington 63-46 Mars Hill | | Area | Lexington 70-57 Tanner | | Region NW Championship | | Sub-Regional | Lexington 64-67 Phil Campbell |
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| 2005 |
| Class: 2A Area: 15 | | Area | Lexington 58-36 Clements | | Area | Lexington 48-60 Tanner |
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| 2004 |
| Class: 2A Area: 15 | | Area | Lexington 48-68 Priceville |
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| 2003 |
| Class: 2A Area: 15 | | Area | Lexington 0-0 | | Area | Lexington 43-54 Tanner | | Region NW Championship | | Sub-Regional | Lexington 49-92 Hatton |
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| 2002 |
| Class: 3A Area: 15 | | Area | Lexington 0-0 Ardmore |
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| 2001 |
| Class: 3A Area: 15 | | Area | Lexington 0-0 Ardmore |
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| 2000 |
| Class: 3A Area: 15 | | Area | Lexington 0-0 | | Area | Lexington 61-69 West Limestone | | Region NW Championship | | Sub-Regional | Lexington 47-62 Lauderdale County |
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| 1999 |
| Class: 3A Area: 15 | | Area | Lexington 43-90 West Limestone | | Area | Lexington 0-0 | | Region NW Championship | | Sub-Regional | Lexington 65-90 Lauderdale County |
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| 1998 |
| Class: 2A Area: 16 | | Area | Lexington 48-58 Rogers |
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| 1997 |
| Class: 2A Area: 16 | | Area | Lexington 0-0 | | Area | Lexington 46-59 Mars Hill | | Region NW Championship | | Sub-Regional | Lexington 32-66 Hazlewood |
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| 1996 |
| Class: 2A Area: 16 | | Area | Lexington 53-60 Clements | | Area | Lexington 0-0 | | Region NW Championship | | Sub-Regional | Lexington 53-59 Hatton |
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| 1995 |
| Class: 2A | | Sub-Regional | Lexington 58-54 Phil Campbell | | Sub-Regional | Lexington 76-53 Red Bay | | Regional | Lexington 49-34 Northside | | Regional Finals | Lexington 61-67 Hatton |
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| 1994 |
| Class: 2A Area: 16 | | Area | Lexington 38-45 Lauderdale County | | Area | Lexington 0-0 | | Region NW Championship | | Sub-Regional | Lexington 62-31 Northside | | Regional | Lexington 67-52 Hatton | | Regional Finals | Lexington 56-68 Lauderdale County |
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| 1993 |
| Class: 2A Area: 16 | | Area | Lexington 0-0 | | Area | Lexington 0-0 Lauderdale County | | Region S4 Championship | | Sub-State | Lexington 60-44 Hatton | | Sub-State Finals | Lexington 58-44 North Sand Mountain | | SS3 | Lexington 69-72 Ranburne |
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| 1992 |
| Class: 3A Area: 14 | | Area | Lexington 0-0 Lauderdale County | | Area | Lexington 0-0 | | Region S3 Championship | | Sub-State | Lexington 64-55 Red Bay | | Sub-State Finals | Lexington 52-49 Pisgah | | SS3 | Lexington 46-31 St. Pauls |
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| 1989 |
| Class: 3A Area: 14 | | Area | Lexington 0-0 Rogers | | Area | Lexington 0-0 | | Region S4 Championship | | Sub-State | Lexington 68-77 Red Bay |
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| 1988 |
| Class: 3A Area: 13 | | Area | Lexington 0-0 Lauderdale County | | Area | Lexington 0-0 | | Region S4 Championship | | Sub-State | Lexington 65-54 Clements | | Sub-State Finals | Lexington 52-59 Lauderdale County |
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| 1987 |
| Class: 3A Area: 13 | | Area | Lexington 0-0 Lauderdale County | | Area | Lexington 0-0 | | Region S4 Championship | | Sub-State | Lexington 48-61 Tanner |
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| 1986 |
| Class: 3A Area: 13 | | Area | Lexington 0-0 | | Area | Lexington 0-0 West Limestone | | Region S4 Championship | | Sub-State | Lexington 60-65 Tanner |
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| 1984 |
| Class: 2A Area: 13 | | Semi | Lexington 0-0 | | Finals | Lexington 0-0 | | Region Championship | | Sub-State | Lexington 61-60 Clements | | SS3 | Lexington 59-56 Crossville |
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| 1983 |
| Class: 2A Area: 13 | | 1 | Lexington 78-63 Red Bay | | Semi | Lexington 72-48 Hazlewood | | Finals | Lexington 0-0 Hatton | | Region Championship | | Sub-State | Lexington 57-60 Tanner |
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