North Carolina has held a state tournament each year since 2000. That year’s host team, Caldwell County, won the state title. Other champions since then are:
| Year | Host | Champion | Year | Host | Champion |
| 2001 | Garner | Shelby (35-7) | 2007 | Garner | Cherryville (43-10) |
| 2002 | Rowan County |
Rowan County (43-2) |
2008 | Gastonia | Randolph County (43-14) |
| 2003 | Fayetteville | Cherryville (45-10) | 2009 | Pitt County | Rowan County (39-10) |
| 2004 | Shelby | (Vacated) | 2010 | Randolph County | Kernersville (35-16) |
| 2005 | Cherryville | Pitt County (31-7) | 2011 | Morehead City | Cherryville (38-8) |
| 2006 | High Point | Morehead City (28-7) | 2012 | Caldwell County | Wilmington (36-9) |
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