In 2004, Mens Sana Siena won its first title, but it was only three years later, in 2007, that Siena would begun its dominance over the Italian league. From 2007 to 2013, the Tuscan team was able of winning seven consecutive titles, under the leaderships of Terrell McIntyre, Shaun Stonerook and Romain Sato. However, on 7 October 2016, following an investigation for accounting and fiscal fraud, the Court of the Italian Basketball Federation has revoked the championship titles awarded to Siena for the 2011–12 and 2012–13 seasons, two Italian Cups (2012 and 2013) and the 2013 Supercoppa. Following Siena's relegation, Olimpia Milano, under the new ownership of Giorgio Armani, won the championship again in 2014, 2016 and 2018, while Dinamo Sassari won its first title in 2015, becoming the first team from Sardinia to do so. In 2017 and 2019, Reyer Venezia returned to the top of Italian league after more than seven decades.
