From 1931–32 until 1951–52, the title was decided by a straight knockout tournament known as Svenska mästerskapet ("the Swedish Championship").
Since 1967–68, the Swedish Champions have been determined by a playoffs competition between the highest-placed teams in the top league.
These two clubs completely dominated Swedish men's handball from 1983–84 to 2002–03, winning all titles but one.
Västerås IK and AIK are the only teams to have won the championship (in its pre-1952 knockout format) while playing outside the top flight.
Teams from the Gothenburg area (Redbergslid, Heim, Majorna and Sävehof) have won 41 of 91 titles.
Redbergslids IK is the most successful club with 20 Swedish Championship titles.