Murray State defeated Middle Tennessee in the championship game, 79–67, to win their fifth OVC men's basketball tournament.
The Racers received an automatic bid to the 1991 NCAA tournament as the #13 seed in the Southeast region.
Format
All seven of the conference's members participated in the tournament field. They were seeded based on regular season conference records, with the top seed (Murray State) receiving a bye to the semifinal round. The teams were re-seeded after the opening round.