The championship games date back to 1960 where West Chester was the first to win, however champions had been selected by sportswriters and the Saylor Point System since 1934. Champions have been decided every year since then, except for three years during World War II, and in 2020 during the COVID-19 pandemic when PSAC did not compete.
Home advantage alternates each year, with the east division champion hosting every odd-numbered year and the west division champion hosting every even-numbered year.
Mansfield no longer plays full-sized football, opting instead to sponsor sprint football, a variant that uses standard NCAA football rules but restricts player weights to a maximum of 178 pounds (81 kg).
One other PSAC member, Pitt–Johnstown, does not sponsor football.
Among current PSAC members that sponsor football, three have never won the conference title—Gannon, Seton Hill, and Shepherd. All are among the conference's newer members; Gannon joined in 2008, Seton Hill in 2013, and Shepherd in 2019.
