The West Midlands (Regional) League was formed as early as 1889 as the Birmingham & District League to cater teams in and around the Birmingham area. At one point in it's past, this league was considered one of, if not THE, strongest league outside of the Football League. It has undergone many name changes, due to the amalgamation of other leagues and various title sponsors.

Currently the league runs with three divisions; Premier; Division 1 and Division 2. The league has approximately 50 clubs within it's structure and regularly adds to it's members by accepting teams from various County Leagues. The Shropshire County League; The Herefordshire League; The Wolverhampton Combination and the Kidderminster & District League are all feeder leagues into the West Midlands Regional Leagues. The West Midlands Regional Premier Division is also a feeder league for the Midland Alliance or the Midland Combination.