The inaugural Atlantic Coast Conference Men's Basketball Tournament was held in Raleigh, North Carolina at Reynolds Coliseum from March 4-6, 1954. NC State defeated Wake Forest 82-80 in overtime to win the championship. Dickie Hemric of Wake Forest was named tournament MVP.
| Quarterfinals March 4, 1954 |
Semifinals March 5, 1954 |
Championship Game March 6, 1954 |
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| 1 | Duke | 96 | |||||||||||
| 8 | Virginia | 68 | |||||||||||
| 1 | Duke | 75 | |||||||||||
| 4 | NC State | 79 | |||||||||||
| 4 | NC State | 52 | |||||||||||
| 5 | North Carolina | 51 | |||||||||||
| 3 | Wake Forest | 80 | |||||||||||
| 4 | NC State | 82* | |||||||||||
| 2 | Maryland | 75 | |||||||||||
| 7 | Clemson | 59 | |||||||||||
| 2 | Maryland | 56 | |||||||||||
| 3 | Wake Forest | 64* | |||||||||||
| 3 | Wake Forest | 58* | |||||||||||
| 6 | South Carolina | 57 | |||||||||||
* Denotes Overtime Game
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