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.
Appalachian League Teams have played 46 extra-inning games under the new format. The Johnson City Doughboys lead the way with eight sudden-death victories, while the Bluefield Ridge Runners and Danville Otterbots each have seven. The team on defense has won 26 times, while the team on offense has won 20 times.
Results - 2024
| 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 |