SportsTime Ohio assumed the regional cable television rights to Major League Baseball games involving the Indians from Fox Sports Ohio, which had served as the exclusive local broadcaster of the Indians from 2002 to 2005, when it was majority-owned by Cablevision Systems Corporation (a New York-based company owned by Dolan's brother, Charles) until an asset trade with then-Fox Sports Net parent News Corporation who also owned 20th Century Fox and Fox News.

In April 2013, at the beginning of the 2013 Major League Baseball season, SportsTime Ohio transitioned to the Fox Sports branding and imagery, but maintained the SportsTime Ohio branding (following the model of FSN's similar secondary channels Sun Sports, SportSouth, and Prime Ticket).

However, on June 27, 2018, the Justice Department ordered their divestment under antitrust grounds, citing Disney's ownership of ESPN.

[3] On May 3, 2019, Sinclair Broadcast Group and Entertainment Studios (through their joint venture, Diamond Holdings) bought Fox Sports Networks from The Walt Disney Company for $10.6 billion.

[4][5][6][7] The deal also marked Sinclair's entry into Northeast Ohio, where its nearest existing broadcasting properties are WSYX/WTTE/WWHO, WNWO, WTOV and WPGH-TV/WPNT in Pittsburgh.

On November 17, 2020, Sinclair announced an agreement with casino operator Bally's Corporation to serve as a new naming rights partner for the FSN channels.

The network was the primary TV outlet for Cleveland Monsters hockey[23] until 2024, with a new deal with Gray Television[24] and was a secondary broadcaster of Columbus Crew soccer.