The channel broadcast professional, collegiate and high school sports events, with a primary focus on North Carolina–based teams, namely the Charlotte Hornets and Carolina Hurricanes.

On January 27, 2021, Bally's and Sinclair issued a joint press release unveiling the new logos for the rebrand of the networks that will occur at a still undetermined date later in 2021.

[2] The channel held the regional cable television rights to the Charlotte Hornets of the NBA and Carolina Hurricanes of the NHL; it also carried team-related programs from the Carolina Panthers NFL franchise, and broadcast games and team and collegiate programs from the Atlantic Coast Conference (ACC) and Southeastern Conferences (SEC).

It carried Fox Sports South telecasts of Atlanta Braves games in all of South Carolina, and portions of the Charlotte and Piedmont Triad markets; and Fox Sports Ohio telecasts of Cincinnati Reds games in and around Asheville, Charlotte and Winston-Salem.

Fox Sports Carolinas HD originally transmitted only during game telecasts (with a test pattern being shown at other times) until July 2009, when it was converted into a 24-hour channel.