Another look at the rich history of Middlesex County High School Boys Hoops is a glance at all the teams that have been good enough to reach the MCT/GMCT Semifinals, or the Final Four. This table contains all of the past MCT/GMCT Boys Final Fours from 1974-75 up and through the present.
Past Middlesex County Tournament/Greater Middlesex Conference Final Fours Since 1975
| Year | Champion | Runner-Up | Semifinalist | Semifinalist |
| 1975 | Perth Amboy | Woodbridge | J.P. Stevens | St. Joseph’s |
| 1976 | Piscataway | Perth Amboy | Colonia | New Brunswick |
| 1977 | Piscataway | Carteret | Woodbridge | J.F. Kennedy |
| 1978 | South River | Perth Amboy | J.F. Kennedy | Carteret |
| 1979 | South River | Colonia | Sayreville | East Brunswick |
| 1980 | Colonia | Perth Amboy | St. Peter’s | Piscataway |
| 1981 | Perth Amboy | St. Peter’s | J.P. Stevens | Sayreville |
| 1982 | St. Thomas Aquinas | St. Joseph’s | Woodbridge | New Brunswick |
| 1983 | St. Peter’s | St. Joseph’s | Metuchen | Carteret |
| 1984 | St. Peter’s | St. Joseph’s | East Brunswick | New Brunswick |
| 1985 | St. Peter’s | New Brunswick | Perth Amboy | East Brunswick |
| 1986 | Carteret | New Brunswick | Perth Amboy | East Brunswick |
| 1987 | East Brunswick | J.P. Stevens | Colonia | Metuchen |
| 1988 | Metuchen | St. Peter’s | Carteret | Cedar Ridge |
| 1989 | J.P. Stevens | East Brunswick | South Brunswick | Perth Amboy |
| 1990 | J.F. Kennedy | Perth Amboy | St. Peter’s | Colonia |
| 1991 | Piscataway | St. Joseph’s | South Plainfield | Bishop Ahr |
| 1992 | Bishop Ahr | St. Joseph’s | Perth Amboy | Piscataway |
| 1993 | St. Joseph’s | South Brunswick | Perth Amboy | Piscataway |
| 1994 | Piscataway | St. Peter’s | Colonia | New Brunswick |
| 1995 | Piscataway | East Brunswick | Colonia | St. Peter’s |
| 1996 | East Brunswick | Piscataway | South Brunswick | St. Peter’s |
| 1997 | North Brunswick | St. Joseph’s | St. Peter’s | East Brunswick |
| 1998 | St. Joseph’s | Sayreville | North Brunswick | Perth Amboy |
| 1999 | St. Joseph’s | Colonia | Sayreville | Perth Amboy |
| 2000 | Sayreville | Carteret | Colonia | East Brunswick |
| 2001 | Colonia | St. Joseph’s | Carteret | East Brunswick |
| 2002 | Carteret | Colonia | South Brunswick | New Brunswick |
| 2003 | Cardinal McCarrick | St. Joseph’s | New Brunswick | South Plainfield |
| 2004 | South Plainfield | Colonia | Cardinal McCarrick | St. Joseph’s |
| 2005 | South Plainfield | St. Joseph’s | Colonia | South Brunswick |
| 2006 | Colonia | Metuchen | St. Joseph’s | Monroe |
| 2007 | Piscataway | Cardinal McCarrick | South Brunswick | South Plainfield |
| 2008 | Cardinal McCarrick | St. Joseph’s | Piscataway | Colonia |
| 2009 | Piscataway | St. Joseph’s | Cardinal McCarrick | Monroe |
| 2010 | St. Joseph’s | Monroe | Spotswood | Sayreville |
| 2011 | St. Joseph’s | Piscataway | Bishop Ahr | Cardinal McCarrick |
| 2012 | St. Joseph’s | North Brunswick | East Brunswick | Cardinal McCarrick |
| 2013 | St. Joseph’s | East Brunswick | Woodbridge | Old Bridge |
| 2014 | St. Joseph’s | East Brunswick | Sayreville | Colonia |
| 2015 | Colonia | St. Joseph’s | Perth Amboy | East Brunswick |
| 2016 | St. Joseph’s | South Brunswick | Woodbridge | East Brunswick |
| 2017 | St. Joseph’s | Sayreville | South Brunswick | Woodbridge |
| 2018 | St. Joseph’s | Colonia | Old Bridge | Carteret |
| 2019 | St. Joseph’s | Piscataway | Colonia | New Brunswick |
| 2020 | St. Thomas Aquinas | South Brunswick | St. Joseph’s | Edison |
| 2022* | St. Thomas Aquinas | Colonia | St. Joseph’s | Monroe |
| 2023 | St. Thomas Aquinas | South Brunswick | South River | St. Joseph’s |
*No GMCT in 2021 due to COVID.