As of 2022 clubs from Serbia, Greece, Turkey, Albania, Bulgaria, Bosnia and Herzegovina, Italy and Montenegro have competed.

[1] Partizan defeated Red Star 32–26 in the inaugural Balkan Super League Grand Final.

[2] The competition will expand to 15 teams in 2018, with the addition of Greek, Montenegro and Albanian clubs.

The 2020 season was planned to be a knock-out system with 11 clubs competing from 5 countries: Bosnia and Herzegovina, Bulgaria, Serbia, Montenegro and Turkey, but was cancelled due to the COVID-19 Pandemic.

The 2022 format featured an incomplete round robin followed by a Grand Final.