Region Championships
Pikeville 20 Whitesburg 0
1977
Class AA Region IV Championship
Pikeville 21 Whitesburg 8
1978
Class AA Region IV Championship
Pikeville 18 Hazard 14
1979
Class AA Region IV Championship
Pikeville 34 Williamsburg 23
1981
Class A Region IV Championship
Cumberland 25 Pikeville 7
1983
Class A Region IV Championship
Pikeville 25 Pineville 13
1984
Class A Region IV Championship
Pikeville 21 Pineville 14
1988
Class A Region IV Championship
Pikeville 47 Pineville 0
1989
Class A Region IV Championship
Pikeville 22 Cumberland 7
1991
Class A Region IV Championship
Pikeville 25 Hazard 18
1993
Class A Region IV Championship
Pikeville 33 Harlan 12
1999
Class A Region IV Championship
Lynn Camp 35 Pikeville 28 (OT)
2003
Class A Region IV Championship
Pikeville 29 Williamsburg 22 (OT)
2004
Class A Region IV Championship
Hazard 59 Pikeville 34
2010
Class A Region IV Championship
Pikeville 20 Fairview 18
2011
Class A Region IV Championship
Fairview 36 Pikeville 14
2012
Class A Region IV Championship
*Fairview would forfeit & game is vacated
Raceland 14 Pikeville 3
2013
Class A Region IV Championship
Pikeville 50 Hazard 6
2015
Class A Region IV Championship
Hazard 42 Pikeville 19
2016
Class A Region IV Championship
Pikeville 14 Hazard 9
2017
Class A Region IV Championship
Pikeville 57 Williamsburg 16
2018
Class A Region IV Championship
Pikeville 54 Nicholas County 14
2019
Class A Region Championship
*1st Year of RPI Format
*Missing Video from the following Region Championships: 1972, 1980, 1986, 1987, 1990, 1992, 1993, 1994, 1995, 1996, 1998, 2000, 2002, 2007, 2008