| Regional Tournament History |
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| 2025 |
| Class: 4A Area: 15 | | Area | Randolph 22-61 West Limestone | | Area | West Limestone 26-69 Madison Academy |
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| 2024 |
| Class: 4A Area: 15 | | Area | West Limestone 51-69 Randolph |
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| 2023 |
| Class: 4A Area: 15 | | Area | Westminster Huntsville 29-52 West Limestone | | Area | West Limestone 19-55 St. John Paul II | | Region NW Championship | | Sub-Regional | West Limestone 47-75 Deshler |
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| 2022 |
| Class: 4A Area: 15 | | Area | Bye - West Limestone | | Area | West Limestone 56-66 Brooks | | Region NW Championship | | Sub-Regional | West Limestone 17-71 Deshler |
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| 2021 |
| Class: 4A Area: 15 | | Area | West Morgan 37-51 West Limestone | | Area | Brooks 48-52 West Limestone | | Region NW Championship | | Sub-Regional | West Limestone 26-66 Rogers |
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| 2020 |
| Class: 4A Area: 15 | | Area | Elkmont 41-52 West Limestone | | Area | West Limestone 34-50 Brooks | | Region NW Championship | | Sub-Regional | West Limestone 32-66 Rogers |
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| 2019 |
| Class: 4A Area: 15 | | Area | Brooks 35-64 West Limestone | | Region NW Championship | | Sub-Regional | West Limestone 46-67 Deshler |
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| 2018 |
| Class: 4A Area: 15 | | Area | West Limestone 49-63 Danville |
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| 2017 |
| Class: 4A Area: 15 | | Area | Priceville 54-56 West Limestone | | Region NW Championship | | Sub-Regional | Wilson 31-47 West Limestone | | Regional | Good Hope 23-44 West Limestone | | Regional Finals | West Limestone 30-56 Deshler |
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| 2016 |
| Class: 4A Area: 15 | | Area | Elkmont 35-56 West Limestone | | Area | East Lawrence 48-49 West Limestone | | Region NW Championship | | Sub-Regional | Curry 32-59 West Limestone | | Regional | Danville 51-58 West Limestone | | Regional Finals | West Limestone 26-65 Deshler |
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| 2015 |
| Class: 4A Area: 15 | | Area | Elkmont 31-58 West Limestone | | Area | Brooks 24-39 West Limestone | | Region Championship | | Sub-Regional | Carbon Hill 24-57 West Limestone | | Regional | West Limestone 32-63 Deshler |
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| 2014 |
| Class: 4A Area: 16 | | Area | West Limestone 29-45 Central Florence |
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| 2013 |
| Class: 4A Area: 16 | | Area | Wilson 42-57 West Limestone | | Area | Central Florence 26-48 West Limestone | | Region NW Championship | | Sub-Regional | Priceville 45-60 West Limestone | | Regional | J.O. Johnson 44-53 West Limestone | | Regional Finals | West Limestone 34-53 Oneonta |
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| 2012 |
| Class: 4A Area: 15 | | Area | Butler 32-79 West Limestone | | Area | St. John Paul II 29-58 West Limestone | | Region NW Championship | | Sub-Regional | Wilson 45-56 West Limestone | | Regional | West Limestone 32-43 Good Hope |
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| 2011 |
| Class: 4A Area: 15 | | Area | Butler 59-63 West Limestone | | Area | Ardmore 59-60 West Limestone | | Region NW Championship | | Sub-Regional | West Limestone 47-53 Brooks |
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| 2010 |
| Class: 3A Area: 15 | | Area | Randolph 31-47 West Limestone | | Area | West Limestone 23-72 Madison Academy | | Region NW Championship | | Sub-Regional | West Limestone 46-58 Good Hope |
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| 2009 |
| Class: 3A Area: 15 | | Area | West Limestone 60-69 Elkmont |
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| 2008 |
| Class: 3A Area: 15 | | Area | West Limestone 31-74 Lauderdale County |
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| 2007 |
| Class: 3A Area: 15 | | Area | West Limestone 0-0 Elkmont |
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| 2006 |
| Class: 3A Area: 14 | | Area | West Limestone 62-82 Sheffield |
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| 2005 |
| Class: 3A Area: 14 | | Area | West Limestone 59-84 Lauderdale County |
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| 2004 |
| Class: 3A Area: 15 | | Area | Danville 43-69 West Limestone | | Area | Elkmont 44-72 West Limestone | | Region NW Championship | | Sub-Regional | Sheffield 62-71 West Limestone | | Regional | Good Hope 47-61 West Limestone | | Regional Finals | West Limestone 46-80 Lauderdale County |
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| 2003 |
| Class: 3A Area: 15 | | Area | 0-0 West Limestone | | Area | Elkmont 45-68 West Limestone | | Region NW Championship | | Sub-Regional | Colbert County 47-67 West Limestone | | Regional | Vinemont 55-72 West Limestone | | Regional Finals | West Limestone 51-71 Lauderdale County |
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| 2002 |
| Class: 4A Area: 14 | | Area | East Lawrence 0-0 West Limestone | | Area | Lawrence County 54-68 West Limestone | | Region NW Championship | | Sub-Regional | Central Florence 42-57 West Limestone | | Regional | Winfield 39-46 West Limestone | | Regional Finals | West Limestone 52-81 Deshler |
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| 2001 |
| Class: 4A Area: 14 | | Area | West Limestone 0-0 Lawrence County |
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| 2000 |
| Class: 3A Area: 15 | | Area | Lexington 61-69 West Limestone | | Area | 0-0 West Limestone | | Region NW Championship | | Sub-Regional | Danville 41-63 West Limestone | | Regional | Hanceville 36-45 West Limestone | | Regional Finals | West Limestone 34-44 Sulligent |
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| 1999 |
| Class: 3A Area: 15 | | Area | 0-0 West Limestone | | Area | Lexington 43-90 West Limestone | | Region NW Championship | | Sub-Regional | Danville 44-72 West Limestone | | Regional | West Limestone 54-60 Hanceville |
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| 1998 |
| Class: 3A Area: 16 | | Area | West Limestone 68-76 Lauderdale County | | Area | Colbert County 35-69 West Limestone | | Region NW Championship | | Sub-Regional | West Limestone 58-70 East Lawrence |
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| 1997 |
| Class: 3A Area: 16 | | Area | West Limestone 52-72 Lauderdale County | | Area | 0-0 West Limestone | | Region NW Championship | | Sub-Regional | East Limestone 55-62 West Limestone | | Regional | Phil Campbell 54-67 West Limestone | | Regional Finals | West Limestone 60-82 Lauderdale County |
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| 1996 |
| Class: 4A Area: 16 | | Area | 0-0 West Limestone | | Area | West Limestone 51-57 Wilson | | Region NW Championship | | Sub-Regional | West Limestone 53-86 East Lawrence |
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| 1995 |
| Class: 4A | | Sub-Regional | West Limestone 62-69 Lawrence County | | Sub-Regional | Brooks 42-72 West Limestone |
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| 1994 |
| Class: 4A Area: 16 | | Area | 0-0 West Limestone | | Area | West Limestone 49-67 Sheffield | | Region NW Championship | | Sub-Regional | West Limestone 79-90 Haleyville |
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| 1993 |
| Class: 4A Area: 16 | | Area | Sheffield 0-0 West Limestone | | Area | 0-0 West Limestone | | Region S4 Championship | | Sub-State | Lawrence County 48-64 West Limestone | | Sub-State Finals | West Limestone 55-65 Buckhorn |
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| 1992 |
| Class: 4A Area: 16 | | Area | West Limestone 0-0 Sheffield | | Area | 0-0 West Limestone | | Region S4 Championship | | Sub-State | Deshler 50-55 West Limestone | | Sub-State Finals | West Limestone 52-56 Haleyville |
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| 1991 |
| Class: 4A Area: 16 | | Area | Wilson 43-54 West Limestone | | Area | 0-0 West Limestone | | Region S4 Championship | | Sub-State | Deshler 44-53 West Limestone | | Sub-State Finals | West Limestone 62-65 Buckhorn |
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| 1990 |
| Class: 3A Area: 14 | | Area | West Limestone 46-64 Lauderdale County | | Area | 0-0 West Limestone | | Region S4 Championship | | Sub-State | Phil Campbell 51-57 West Limestone | | Sub-State Finals | Elkmont 43-56 West Limestone | | SS3 | West Limestone 60-64 Pisgah |
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| 1986 |
| Class: 3A Area: 13 | | Area | Lexington 0-0 West Limestone | | Area | 0-0 West Limestone | | Region S4 Championship | | Sub-State | West Limestone 0-0 Elkmont |
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| 1979 |
| Class: 2A Area: 14 | | 1 | Elkmont 33-48 West Limestone | | Semi | West Limestone 34-39 Danville |
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| 1978 |
| Class: 2A Area: 14 | | 1 | Bye 0-0 West Limestone | | Semi | Ardmore 25-35 West Limestone | | Finals | Clements 18-52 West Limestone | | Region Championship | | Sub-State | West Limestone 0-0 Red Bay |
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