Champions
- Saskatchewan: Regina Pats
- Manitoba: Winnipeg Young Mens Lutheran Club
- 1918-19 Alberta Junior Playoffs: Calgary Chinooks (Alberta Amateur Hockey Association did not exist at this point to sanction challenge for Memorial Cup)
- British Columbia: Vancouver Bluebirds (playoffs not completed in time to participate)
Final
2 games total goals
- Regina 5 Winnipeg 4
- Regina 3 Winnipeg 1
Regina Pats beat Winnipeg Young Mens Lutheran Club 8 goals to 5.
Regina Pats advanced to the 1918-19 Memorial Cup Final.
Team Photos
