| Regional Tournament History |
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| 2024 |
| Class: 6A Area: 10 | | Area | Pell City 42-54 Mountain Brook |
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| 2023 |
| Class: 6A Area: 10 | | Area | Pell City 63-49 Mountain Brook | | Area | Pell City 53-58 Shades Valley | | Sub-Regional | Pell City 43-62 Oxford |
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| 2022 |
| Class: 6A Area: 13 | | Area | Pell City 62-51 Springville | | Area | Pell City 48-53 Oxford | | Region NE Championship | | Sub-Regional | Pell City 35-52 Huffman |
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| 2021 |
| Class: 6A Area: 13 | | Area | Pell City 52-42 Springville | | Area | Pell City 42-47 Oxford | | Sub-Regional | Pell City 48-60 Huffman |
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| 2020 |
| Class: 6A Area: 12 | | Area | Pell City 66-39 Pinson Valley | | Area | Pell City 40-53 Clay-Chalkville | | Region NE Championship | | Sub-Regional | Pell City 28-46 Homewood |
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| 2019 |
| Class: 6A Area: 12 | | Area | Pell City 43-31 Pinson Valley | | Area | Pell City 39-42 Clay-Chalkville | | Region NE Championship | | Sub-Regional | Pell City 36-56 Huffman |
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| 2018 |
| Class: 6A Area: 13 | | Area | Pell City 53-44 Oxford | | Area | Pell City 44-45 Southside Gadsden | | Region NE Championship | | Sub-Regional | Pell City 38-60 Ramsay |
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| 2017 |
| Class: 6A Area: 13 | | Area | Pell City 36-39 Oxford |
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| 2016 |
| Class: 6A Area: 10 | | Area | Pell City 53-54 Oxford | | Region NE Championship | | Sub-Regional | Pell City 57-60 Fort Payne |
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| 2015 |
| Class: 6A Area: 10 | | Area | Pell City 51-49 Oxford | | Region Championship | | Sub-Regional | Pell City 34-48 Albertville |
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| 2014 |
| Class: 6A Area: 9 | | Area | Pell City 3-62 Gadsden City |
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| 2013 |
| Class: 6A Area: 9 | | Area | Pell City 26-73 Gadsden City |
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| 2012 |
| Class: 6A Area: 14 | | Area | Pell City 54-35 Oxford | | Area | Pell City 46-66 Gadsden City | | Region NE Championship | | Sub-Regional | Pell City 22-81 Shades Valley |
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| 2011 |
| Class: 6A Area: 14 | | Area | Pell City 15-37 Grissom |
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| 2010 |
| Class: 6A Area: 13 | | Area | Pell City 35-56 Hewitt-Trussville |
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| 2009 |
| Class: 6A Area: 13 | | Area | Pell City 29-65 Hewitt-Trussville |
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| 2008 |
| Class: 6A Area: 14 | | Area | Pell City 34-56 Clay-Chalkville |
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| 2007 |
| Class: 6A Area: 14 | | Area | Pell City 43-77 Clay-Chalkville |
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| 2006 |
| Class: 6A Area: 7 | | Area | Pell City 33-56 Huffman |
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| 2005 |
| Class: 6A Area: 7 | | Area | Pell City 39-71 Carver Birmingham |
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| 2004 |
| Class: 5A Area: 11 | | Area | Pell City 26-64 Pinson Valley |
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| 2003 |
| Class: 5A Area: 11 | | Area | Pell City 0-0 Pinson Valley |
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| 2002 |
| Class: 6A Area: 13 | | Area | Pell City 73-74 Pinson Valley |
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| 2001 |
| Class: 6A Area: 13 | | Area | Pell City 55-51 Pinson Valley | | Area | Pell City 45-57 Clay-Chalkville | | Region NE Championship | | Sub-Regional | Pell City 40-89 Huffman |
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| 1999 |
| Class: 6A Area: 10 | | Area | Pell City 51-45 Benjamin Russell | | Area | Pell City 59-55 Oxford | | Region NE Championship | | Sub-Regional | Pell City 48-44 Shades Valley | | Regional | Pell City 46-55 Vestavia Hills |
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| 1998 |
| Class: 6A Area: 12 | | Area | Pell City 73-12 Hewitt-Trussville | | Area | Pell City 51-50 Huffman | | Area | Pell City 67-84 Huffman | | Region NE Championship | | Sub-Regional | Pell City 49-65 Mountain Brook |
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| 1997 |
| Class: 6A Area: 12 | | Area | Pell City 54-38 Huffman | | Area | Pell City 73-78 Oxford | | Region NE Championship | | Sub-Regional | Pell City 47-79 Shades Valley |
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| 1996 |
| Class: 6A Area: 8 | | Area | Pell City 53-51 Benjamin Russell | | Area | Pell City 0-0 Anniston | | Region NE Championship | | Sub-Regional | Pell City 51-37 Huffman | | Regional | Pell City 36-75 Central Tuscaloosa |
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| 1995 |
| Class: 6A | | Sub-Regional | Pell City 40-50 Shades Valley | | Sub-Regional | Pell City 69-42 Huffman |
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| 1994 |
| Class: 5A Area: 11 | | Area | Pell City 47-62 Oxford | | Area | Pell City 0-0 Bye | | Region NW Championship | | Sub-Regional | Pell City 60-58 Jackson-Olin | | Regional | Pell City 34-80 Wenonah |
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| 1993 |
| Class: 5A Area: 11 | | Area | Pell City 61-38 Oxford | | Area | Pell City 0-0 | | Region S3 Championship | | Sub-State | Pell City 45-31 Etoawh | | Sub-State Finals | Pell City 45-80 Wenonah |
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| 1992 |
| Class: 5A Area: 10 | | Area | Pell City 87-26 Ramsay | | Area | Pell City 90-47 Erwin | | Region S3 Championship | | Sub-State | Pell City 81-32 John Carroll | | Sub-State Finals | Pell City 63-47 Gadsden | | SS3 | Pell City 77-59 Eufaula |
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| 1991 |
| Class: 5A Area: 10 | | Area | Pell City 64-32 Erwin | | Area | Pell City 0-0 Pinson Valley | | Region S3 Championship | | Sub-State | Pell City 101-34 John Carroll | | Sub-State Finals | Pell City 81-41 Gadsden | | SS3 | Pell City 79-50 Homewood |
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| 1990 |
| Class: 5A Area: 10 | | Area | Pell City 0-0 | | Area | Pell City 0-0 Pinson Valley | | Region S3 Championship | | Sub-State | Pell City 58-44 Carver Birmingham | | Sub-State Finals | Pell City 54-62 Gadsden |
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| 1989 |
| Class: 5A Area: 10 | | Area | Pell City 86-34 Leeds | | Area | Pell City 87-60 Pinson Valley | | Region S3 Championship | | Sub-State | Pell City 79-54 Woodlawn | | Sub-State Finals | Pell City 94-52 Gadsden | | SS3 | Pell City 0-0 Pinson Valley |
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| 1988 |
| Class: 5A Area: 11 | | Area | Pell City 84-62 Pinson Valley | | Area | Pell City 0-0 Bye | | Region S3 Championship | | Sub-State | Pell City 90-36 Oxford | | Sub-State Finals | Pell City 85-37 Jacksonville | | SS3 | Pell City 95-57 Jackson-Olin |
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| 1986 |
| Class: 5A Area: 11 | | Area | Pell City 0-0 Gardendale | | Area | Pell City 0-0 | | Region S3 Championship | | Sub-State | Pell City 0-0 Jacksonville |
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| 1984 |
| Class: 4A Area: 10 | | Semi | Pell City 29-23 Talladega | | Finals | Pell City 0-0 Arab |
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