Conference play started in late December 2018 and concluded in March with the 2019 ACC men's basketball tournament at the Spectrum Center in Charlotte, North Carolina.

This table summarizes the head-to-head results between teams in conference play.

The previous time one conference had three number one seeds was in 2009, when the Big East accomplished the feat.

[43] Zion Williamson – Duke To earn "consensus" status, a player must win honors based on a point system computed from the four different all-America teams.

The ACC also became the first conference to have five top-ten picks in the modern draft era (since 1966).