| 1906 | Amateur | Guarani | Olimpia |
| 1907 | Amateur | Guarani | Olimpia |
| 1909 | Amateur | Nacional | Libertad |
| 1910 | Amateur | Libertad | Atlántida |
| 1911 | Amateur | Nacional | Atlántida |
| 1912 | Amateur | Olimpia | Sol de América |
| 1913 | Amateur | Cerro Porteño | Sol de América |
| 1914 | Amateur | Olimpia | Cerro Porteño |
| 1915 | Amateur | Cerro Porteño | Olimpia |
| 1916 | Amateur | Olimpia | Guarani |
| 1917 | Amateur | Libertad | Olimpia |
| 1918 | Amateur | Cerro Porteño | Nacional |
| 1919 | Amateur | Cerro Porteño | River Plate |
| 1920 | Amateur | Libertad | Olimpia |
| 1921 | Amateur | Guarani | Nacional |
| 1923 | Amateur | Guarani | Olimpia |
| 1924 | Amateur | Nacional | Libertad |
| 1925 | Amateur | Olimpia | Guarani |
| 1926 | Amateur | Nacional | River Plate |
| 1927 | Amateur | Olimpia | Libertad |
| 1928 | Amateur | Olimpia | Libertad |
| 1929 | Amateur | Olimpia | Libertad |
| 1930 | Amateur | Libertad | River Plate |
| 1931 | Amateur | Olimpia | Libertad |
| 1935 | Profesional | Cerro Porteño | Sol de América |
| 1936 | Profesional | Olimpia | Atlántida |
| 1937 | Profesional | Olimpia | Cerro Porteño |
| 1938 | Profesional | Olimpia | Cerro Porteño |
| 1939 | Profesional | Cerro Porteño | Olimpia |
| 1940 | Profesional | Cerro Porteño | Sol de América |
| 1941 | Profesional | Cerro Porteño | Olimpia |
| 1942 | Profesional | Nacional | Cerro Porteño |
| 1943 | Profesional | Libertad | Olimpia |
| 1944 | Profesional | Cerro Porteño | Libertad |
| 1945 | Profesional | Libertad | Cerro Porteño |
| 1946 | Profesional | Nacional | Sol de América |
| 1947 | Profesional | Olimpia | Guarani |
| 1948 | Profesional | Olimpia | Cerro Porteño |
| 1949 | Profesional | Guarani | Nacional |
| 1950 | Profesional | Cerro Porteño | Libertad |
| 1951 | Profesional | Sportivo Luqueño | Cerro Porteño |
| 1952 | Profesional | Presidente Hayes | Libertad |
| 1953 | Profesional | Sportivo Luqueño | Libertad |
| 1954 | Profesional | Cerro Porteño | Libertad |
| 1955 | Profesional | Libertad | Olimpia |
| 1956 | Profesional | Olimpia | Libertad |
| 1957 | Profesional | Olimpia | Cerro Porteño |
| 1958 | Profesional | Olimpia | Cerro Porteño |
| 1959 | Profesional | Olimpia | Cerro Porteño |
| 1960 | Profesional | Olimpia | Cerro Porteño |
| 1961 | Profesional | Cerro Porteño | Olimpia |
| 1962 | Profesional | Olimpia | Nacional |
| 1963 | Profesional | Cerro Porteño | Olimpia |
| 1964 | Profesional | Guarani | Nacional |
| 1965 | Profesional | Olimpia | Guarani |
| 1966 | Profesional | Cerro Porteño | Guarani |
| 1967 | Profesional | Guarani | Libertad |
| 1968 | Profesional | Olimpia | Cerro Porteño |
| 1969 | Profesional | Guarani | Olimpia |
| 1970 | Profesional | Cerro Porteño | Guarani |
| 1971 | Profesional | Olimpia | Cerro Porteño |
| 1972 | Profesional | Cerro Porteño | Olimpia |
| 1973 | Profesional | Cerro Porteño | Olimpia |
| 1974 | Profesional | Cerro Porteño | Olimpia |
| 1975 | Profesional | Olimpia | Sportivo Luqueño |
| 1976 | Profesional | Libertad | Cerro Porteño |
| 1977 | Profesional | Cerro Porteño | Libertad |
| 1978 | Profesional | Olimpia | Sol de América |
| 1979 | Profesional | Olimpia | Sol de América |
| 1980 | Profesional | Olimpia | Cerro Porteño |
| 1981 | Profesional | Olimpia | Sol de América |
| 1982 | Profesional | Olimpia | Nacional |
| 1983 | Profesional | Olimpia | Sportivo Luqueño |
| 1984 | Profesional | Guarani | Cerro Porteño |
| 1985 | Profesional | Olimpia | Nacional |
| 1986 | Profesional | Sol de América | Olimpia |
| 1987 | Profesional | Cerro Porteño | Olimpia |
| 1988 | Profesional | Olimpia | Sol de América |
| 1989 | Profesional | Olimpia | Guarani |
| 1990 | Profesional | Cerro Porteño | Libertad |
| 1991 | Profesional | Sol de América | Cerro Porteño |
| 1992 | Profesional | Cerro Porteño | Libertad |
| 1993 | Profesional | Olimpia | Cerro Porteño |
| 1994 | Profesional | Cerro Porteño | Olimpia |
| 1995 | Profesional | Olimpia | Cerro Porteño |
| 1996 | Profesional | Cerro Porteño | Guarani |
| 1997 | Profesional | Olimpia | Cerro Porteño |
| 1998 | Profesional | Olimpia | Cerro Porteño |
| 1999 | Profesional | Olimpia | Cerro Porteño |
| 2000 | Profesional | Olimpia | Guarani |
| 2001 | Profesional | Cerro Porteño | Sportivo Luqueño |
| 2002 | Profesional | Libertad | 12 de octubre |
| 2003 | Profesional | Libertad | Guarani |
| 2004 | Profesional | Cerro Porteño | Libertad |
| 2005 | Profesional | Cerro Porteño | Libertad |
| 2006 | Profesional | Libertad | Cerro Porteño |
| 2007 | Profesional | Libertad | Sportivo Luqueño |
| 2008 | Apertura | Libertad | Nacional |
| 2008 | Clausura | Libertad | Guarani |
| 2009 | Apertura | Cerro Porteño | Libertad |
| 2009 | Clausura | Nacional | Libertad |
| 2010 | Apertura | Guarani | Cerro Porteño |
| 2010 | Clausura | Libertad | Cerro Porteño |
| 2011 | Apertura | Nacional | Olimpia |
| 2011 | Clausura | Olimpia | Cerro Porteño |
| 2012 | Apertura | Cerro Porteño | Olimpia |
| 2012 | Clausura | Libertad | Nacional |
| 2013 | Apertura | Nacional | Guarani |
| 2013 | Clausura | Cerro Porteño | Libertad |
| 2014 | Apertura | Libertad | Guarani |
| 2014 | Clausura | Libertad | Cerro Porteño |
| 2015 | Apertura | Cerro Porteño | Guarani |
| 2015 | Clausura | Olimpia | Cerro Porteño |
| 2016 | Apertura | Libertad | Olimpia |
| 2016 | Clausura | Guarani | Olimpia |
| 2017 | Apertura | Libertad | Guarani |
| 2017 | Clausura | Cerro Porteño | Olimpia |
| 2018 | Apertura | Olimpia | Cerro Porteño |
| 2018 | Clausura | Olimpia | Cerro Porteño |
| 2019 | Apertura | Olimpia | Cerro Porteño |
| 2019 | Clausura | Olimpia | Libertad |
| 2020 | Apertura | Cerro Porteño | Olimpia |
| 2020 | Clausura | Olimpia | Guarani |
| 2021 | Apertura | Libertad | Olimpia |
| 2021 | Clausura | Cerro Porteño | Guarani |
| 2022 | Apertura | Libertad | Cerro Porteño |
| 2022 | Clausura | Olimpia | Cerro Porteño |
| 2023 | Apertura | Libertad |