North Myrtle Beach High School offers the following sports: baseball, basketball, cheerleading, cross country, football, golf, lacrosse, soccer, softball, swimming, tennis, track and field, volleyball, and wrestling. The school's teams compete in South Carolina Region 6-4A sports with
Myrtle Beach High School,
Marlboro County High School,
Hartsville High School,
Darlington High School, and
Wilson High School. The school's won the region football championship in 2006, 2016, 2017, and 2020. The 2017 team had the best record in school history with a 12–1 season. The school’s volleyball team won the SCHSL State Championship in 2012, 2018, 2019, & 2024 and were the state runner-ups in 2013, 2022, & 2023. ==Notable alumni==