In 2022, the Appalachian League announced the addition of a “sudden death” extra-innings rule similar to the Frontier League and MLB Draft League. There is one half inning played to determine a winner. At the end of regulation (seven or nine innings), the home team manager will determine if they want to play offense or defense. The player on the lineup card immediately preceding the batter due up is placed on first base. The defensive team will have three outs to prevent the offense from scoring. If the team on offense scores, they will win the game. If the defensive team retires the side without allowing a run, they will win the game. Statistics during sudden death are not recorded.
Through the end of the 2025 season, Appalachian League teams have played 62 extra-inning games under the new format. The Johnson City Doughboys and Pulaski River Turtles lead the way with 10 sudden-death victories, while the Bluefield Ridge Runners have eight. Through the 2025 season, the team on defense has won 35 times, while the team on offense has won 27 times.
Results - 2025
| DATE | HOME | MANAGER DECISION | VISITOR | SCORE (Inn) | WINNER | WINNER |
|---|---|---|---|---|---|---|
| 6/5 | Pulaski | Defense | Kingsport | 10-10 (9) | Pulaski | Defense |
| 6/11 | Pulaski | Offense | Danville | 10-10 (9) | Pulaski | Offense |
| 6/12 | Pulaski | Defense | Danville | 6-6 (9) | Pulaski | Defense |
| 6/19 | Johnson City | Defense | Pulaski | 7-7 (9) | Johnson City | Defense |
| 6/24 | Greeneville | Defense | Kingsport | 5-5 (7) | Greeneville | Defense |
| 6/25 | Greeneville | Defense | Kingsport | 3-3 (7) | Greeneville | Defense |
| 6/27 | Pulaski | Offense | Burlington | 4-4 (9) | Pulaski | Offense |
| 6/29 | Johnson City | Offense | Bristol | 6-6 (7) | Bristol | Defense |
| 7/5 | Tri-State | Offense | Kingsport | 5-5 (9) | Tri-State | Offense |
| 7/12 | Johnson City | Defense | Tri-State | 8-8 (9) | Johnson City | Defense |
| 7/13 | Elizabethton | Defense | Pulaski | 3-3 (7) | Pulaski | Offense |
| 7/19 | Greeneville | Offense | Burlington | 15-15 (9) | Burlington | Defense |
| 7/22 | Burlington | Offense | Pulaski | 1-1 (9) | Burlington | Offense |
| 7/26 | Bluefield | Defense | Pulaski | 7-7 (9) | Bluefield | Defense |
| 7/26 | Elizabethton | Offense | Greenevillle | 8-8 (7) | Elizabethton | Offense |
| 7/27 | Danville | Defense | Johnson City | 5-5 (7) | Johnson City | Offense |
| DATE | HOME | MANAGER DECISION | VISITOR | SCORE (Inn) | WINNER | WINNER |
|---|---|---|---|---|---|---|
| 7/19 | Danville | Offense | Tri-State | 8-8 (9) | Tri-State | Defense |
| 7/19 | Kingsport | Defense | Johnson City | 3-3 (9) | Kingsport | Defense |
| 7/7 | Kingsport | Defense | Bristol | 4-4 (7) | Kingsport | Defense |
| 6/27 | Kingsport | Defense | Tri-State | 4-4 (7) | Kingsport | Defense |
| 6/26 | Kingsport | Defense | Greeneville | 1-1 (9) | Kingsport | Defense |
| 6/26 | Bluefield | Offense | Elizabethton | 2-2 (9) | Elizabethton | Defense |
| 6/25 | Kingsport | Offense | Greeneville | 5-5 (9) | Greeneville | Defense |
| 6/23 | Greeneville | Defense | Bluefield | 6-6 (7) | Bluefield | Offense |
| 6/21 | Elizabethton | Offense | Kingsport | 6-6 (9) | Kingsport | Defense |
| 6/16 | Danville | Defense | Pulaski | 0-0 (7) | Pulaski | Offense |
| 6/15 | Burlington | Offense | Elizabethton | 7-7 (9) | Elizabethton | Defense |
| 6/14 | Bluefield | Defense | Pulaski | 2-2 (9) | Pulaski | Offense |
| DATE | HOME | MANAGER DECISION | VISITOR | SCORE (Inn) | WINNER | WINNER |
|---|---|---|---|---|---|---|
| 7/31 | Bluefield | Defense | Danville | 5-5 (9) | Bluefield | Defense |
| 7/29 | Johnson City | Defense | Bristol | 10-10 (9) | Johnson City | Defense |
| 7/23 | Elizabethton | Defense | Johnson City | 6-6 (7) | Johnson City | Offense |
| 7/16 | Pulaski | Offense | Elizabethton | 6-6 (7) | Pulaski | Offense |
| 7/11 | Danville | Defense | Pulaski | 2-2 (9) | Danville | Defense |
| 7/9 | Bluefield | Defense | Pulaski | 3-3 (7) | Pulaski | Offense |
| 7/9 | Kingsport | Defense | Greeneville | 5-5 (7) | Greeneville | Offense |
| 7/8 | Bluefield | Defense | Pulaski | 5-5 (7) | Bluefield | Defense |
| 7/3 | Danville | Offense | Burlington | 3-3 (9) | Danville | Offense |
| 7/2 | Bluefield | Offense | Danville | 3-3 (7) | Bluefield | Offense |
| 6/30 | Elizabethton | Defense | Bluefield | 1-1 (9) | Bluefield | Offense |
| 6/29 | Elizabethton | Offense | Bluefield | 6-6 (7) | Bluefield | Defense |
| 6/25 | Burlington | Offense | Pulaski | 5-5 (7) | Burlington | Offense |
| 6/16 | Johnson City | Offense | Pulaski | 5-5 (9) | Johnson City | Offense |
| 6/14 | Burlington | Offense | Bristol | 8-8 (9) | Bristol | Defense |
| 6/11 | Danville | Defense | Bluefield | 1-1 (7) | Danville | Defense |
| DATE | HOME | MANAGER DECISION | VISITOR | SCORE (Inn) | WINNER | WINNER |
|---|---|---|---|---|---|---|
| 8/3 | Princeton | Offense | Johnson City | 10-10 (9) | Johnson City | Defense |
| 7/30 | Kingsport | Defense | Greeneville | 6-6 (9) | Kingsport | Defense |
| 7/28 | Danville | Offense | Burlington | 6-6 (9) | Danville | Offense |
| 7/20 | Danville | Offense | Pulaski | 6-6 (9) | Danville | Offense |
| 7/17 | Greeneville | Offense | Kingsport | 2-2 (7) | Greeneville | Offense |
| 7/15 | Bluefield | Offense | Princeton | 4-4 (7) | Bluefield | Offense |
| 6/28 | Johnson City | Defense | Burlington | 7-7 (9) | Johnson City | Defense |
| 6/26 | Danville | Offense | Johnson City | 1-1 (7) | Johnson City | Defense |
| 6/17 | Danville | Offense | Burlington | 5-5 (9) | Danville | Offense |
| 6/14 | Kingsport | Offense | Johnson City | 4-4 (9) | Johnson City | Defense |
| 6/13 | Danville | Offense | Elizabethton | 3-3 (9) | Danville | Offense |
| 6/10 | Bristol | Offense | Elizabethton | 8-8 (9) | Elizabethton | Defense |
| 6/9 | Bluefield | Offense | Burlington | 2-2 (9) | Burlington | Defense |
| 6/6 | Greeneville | Offense | Danville | 3-3 (9) | Greeneville | Offense |
| 6/5 | Johnson City | Offense | Pulaski | 4-4 (7) | Pulaski | Defense |
| 6/5 | Princeton | Defense | Burlington | 7-7 (7) | Burlington | Offense |
| 6/3 | Princeton | Offense | Bristol | 7-7 (9) | Bristol | Defense |