Most often, it was held between the champions of the International League (IL) and the American Association (AA).

A one-time Triple-A World Series was held in 1983 as a round-robin tournament featuring the champions of the AA, IL, and Pacific Coast League (PCL).

[3] The first Bricktown Showdown was played on September 19, 2006, between the IL-champion Toledo Mud Hens and the PCL-champion Tucson Sidewinders.

In front of an announced paid attendance of 12,572 people and a national television audience watching on ESPN2, Tucson defeated Toledo, 5–2.

[4] Tucson left fielder Scott Hairston won the game's first Most Valuable Player Award after going 2-for-4 at the plate with 1 run batted in.

[4] The start of the 2020 season was postponed due to the COVID-19 pandemic before ultimately being cancelled on June 30.

[13] Instead, 10 games that had been postponed from the start of the season were reinserted into the schedule as a postseason tournament called the Triple-A Final Stretch, in which all 30 Triple-A clubs competed for the highest winning percentage.

[15] The 2022 game was the culmination of a three-day event called the Triple-A Triple Championship Weekend, in which league champions of the IL and PCL were determined on the first two days, and the Triple-A National Champion was crowned on the last.

On September 30, the two division winners from the PCL competed for their league championship.

The league champions determined on those days competed for the Triple-A National Championship on October 2.

The winners then meet in Las Vegas to determine a Triple-A champion.

The game is staffed by a four-umpire crew, with one umpire behind home plate and the others covering each base.