Another look at the rich history of Middlesex County High School Girls Hoops is a glance at all the teams that have been good enough to reach the MCT/GMCT Girls Semifinals or the Final Four. This table contains all of the past MCT/GMCT Girls Final Fours from the MCT’s inception in 1975 up and through the present. The Middlesex County Girls Tournament ran from 1975 to 1985. The Greater Middlesex Conference Tournament began in 1986.
Past Middlesex County Tournament/Greater Middlesex Conference Girls Basketball Final Fours
| Year | Champion | Runner-Up | Semifinalist | Semifinalist |
| 1975 | South Brunswick | South Plainfield | St. Thomas Aquinas | North Brunswick |
| 1976 | South Brunswick | Piscataway | South Plainfield | Woodbridge |
| 1977 | Piscataway | South Plainfield | Sayreville | St. Peter’s |
| 1978 | Piscataway | Sayreville | New Brunswick | South Plainfield |
| 1979 | New Brunswick | South Plainfield | Highland Park | Perth Amboy |
| 1980 | New Brunswick | Metuchen | Woodbridge | Hoffman |
| 1981 | Metuchen | Hoffman | East Brunswick | St. Peter’s |
| 1982 | East Brunswick | Metuchen | New Brunswick | St. Peter’s |
| 1983 | St. Peter’s | Piscataway | Metuchen | East Brunswick |
| 1984 | Bishop Ahr | St. Peter’s | Hoffman | South River |
| 1985 | St. Peter’s | Bishop Ahr | Hoffman | Sayreville |
| 1986 | Hoffman | Bishop Ahr | East Brunswick | Sayreville |
| 1987 | Hoffman | Bishop Ahr | St. Peter’s | Sayreville |
| 1988 | Hoffman | St. Peter’s | Sayreville | St. Mary’s (S.A.) |
| 1989 | St. Peter’s | Hoffman | South Plainfield | Piscataway |
| 1990 | Cedar Ridge | St. Peter’s | New Brunswick | Piscataway |
| 1991 | St. Peter’s | Piscataway | East Brunswick | Edison |
| 1992 | St. Peter’s | East Brunswick | Piscataway | Bishop Ahr |
| 1993 | J.P. Stevens | East Brunswick | Bishop Ahr | Piscataway |
| 1994 | Bishop Ahr | East Brunswick | J.P. Stevens | Piscataway |
| 1995 | Piscataway | East Brunswick | Bishop Ahr | Sayreville |
| 1996 | East Brunswick | Bishop Ahr | Piscataway | South Plainfield |
| 1997 | Piscataway | East Brunswick | Bishop Ahr | South Plainfield |
| 1998 | Piscataway | East Brunswick | Bishop Ahr | Edison |
| 1999 | East Brunswick | Piscataway | Bishop Ahr | South Brunswick |
| 2000 | East Brunswick | Edison | Piscataway | Bishop Ahr |
| 2001 | Bishop Ahr | East Brunswick | Piscataway | Edison |
| 2002 | East Brunswick | Edison | Sayreville | Old Bridge |
| 2003 | J.P. Stevens | Old Bridge | East Brunswick | Woodbridge |
| 2004 | J.P. Stevens | Old Bridge | South Plainfield | South Brunswick |
| 2005 | J.P. Stevens | Piscataway | Perth Amboy | Cardinal McCarrick |
| 2006 | Piscataway | Cardinal McCarrick | South Brunswick | Perth Amboy |
| 2007 | Piscataway | South Plainfield | Perth Amboy | New Brunswick |
| 2008 | Cardinal McCarrick | Piscataway | New Brunswick | South Plainfield |
| 2009 | Piscataway | Cardinal McCarrick | Bishop Ahr | Woodbridge |
| 2010 | Piscataway | Cardinal McCarrick | Bishop Ahr | Spotswood |
| 2011 | Piscataway | Cardinal McCarrick | Woodbridge | North Brunswick |
| 2012 | South Brunswick | North Brunswick | Bishop Ahr | Piscataway |
| 2013 | Piscataway | J.F. Kennedy | North Brunswick | Woodbridge |
| 2014 | Piscataway | Bishop Ahr | East Brunswick | Monroe |
| 2015 | Piscataway | Monroe | Sayreville | Bishop Ahr |
| 2016 | East Brunswick | Monroe | South Brunswick | Bishop Ahr |
| 2017 | Sayreville | South Brunswick | Bishop Ahr | Piscataway |
| 2018 | Piscataway | Edison | East Brunswick | Bishop Ahr |
| 2019 | St. Thomas Aquinas | Edison | Middlesex | J.P. Stevens |
| 2020 | St. Thomas Aquinas | Monroe | Middlesex | South River |
| 2022* | St. Thomas Aquinas | South Brunswick | Colonia | East Brunswick |
| 2023 | St. Thomas Aquinas | Colonia | South Brunswick | Monroe |
| 2024 | St. Thomas Aquinas | Colonia | Monroe | Middlesex |
*No GMCT in 2021 due to COVID.