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The 1968–69 West Midlands (Regional) League season was the 69th in the history of the West Midlands (Regional) League, an English association football competition for semi-professional and amateur teams based in the West Midlands county, Shropshire, Herefordshire, Worcestershire and southern Staffordshire.

Premier Division

The Premier Division featured 19 clubs which competed in the division last season, along with one new club:

Pos	Team	Pld	W	D	L	GF	GA	GR	Pts	Promotion or relegation
1	Kidderminster Harriers	38	32	4	2	123	25	4.920	68
2	Tamworth	38	27	5	6	109	41	2.659	59
3	Hednesford	38	26	7	5	98	43	2.279	59
4	Bromsgrove Rovers	38	24	5	9	90	46	1.957	53
5	Atherstone Town	38	22	6	10	76	53	1.434	50
6	Halesowen Town	38	20	8	10	88	53	1.660	48
7	Cinderford Town	38	18	7	13	81	74	1.095	43	Transferred to the Gloucestershire County League
8	Redditch	38	17	8	13	72	52	1.385	42
9	Stourbridge	38	16	9	13	67	68	0.985	41
10	Dudley Town	38	13	14	11	45	39	1.154	40
11	Eastwood Hanley	38	13	9	16	59	70	0.843	35
12	Lower Gornal Athletic	38	13	8	17	47	62	0.758	34
13	Brierley Hill Alliance	38	12	6	20	51	85	0.600	30
14	Bilston	38	10	9	19	51	79	0.646	29
15	Lye Town	38	9	8	21	56	83	0.675	26
16	Darlaston	38	10	4	24	42	70	0.600	24
17	Bedworth United	38	8	8	22	42	80	0.525	24
18	Stratford Town Amateurs	38	8	6	24	37	73	0.507	22
19	Wolverhampton Wanderers "A"	38	8	4	26	35	91	0.385	20
20	Hinckley Athletic	38	4	5	29	37	119	0.311	13