| 2019 Section X Overall Championship Bracket | ||||
| February 26, 2019 | March 1, 2019 | |||
| Malone (15-6) | ||||
| Class A Champion | ||||
| 73-72 | Malone (16-6) | |||
| @ SUNY Potsdam | ||||
| Madrid-Waddington (19-3) | ||||
| Class C Champion | ||||
| 79-55 | Ogdensburg FA (23-1) | |||
| @ SUNY Potsdam | Section X Champion | |||
| Harrisville (18-5) | ||||
| Class D Champion | ||||
| 76-60 | Ogdensburg FA (22-1) | |||
| @ SUNY Potsdam | ||||
| Ogdensburg FA (21-1) | ||||
| Class B Champion | ||||