The 2018 season was the club's first in the USL, having left the NASL at the end of the 2017 season.

For the fourth time in history and the first time since 2009, North Carolina won the 2018 Southern Derby, a fan-based U.S. professional soccer cup competition between North Carolina, Charleston Battery, and Charlotte Independence.

North Carolina finished the regular season in 9th place with 47 points, missing out on the playoffs by 2 points to Nashville.

The 2019 season was the first under new coach Dave Sarachan who replaced Colin Clarke.

Win Draw Loss As a member of the USL Championship, North Carolina FC entered the tournament in the second round.