Below is the Class 4 All-Region boys cross country team as voted on by the Southwest Cross Country Coaches Association.
Athlete of the Year: Evan Stevens, Webb City
Coach of the Year: Alicia Gunter, West Plains
| 1st Team | ||
| Cameron Martensen | Rolla | 9 |
| Evan Stevens | Webb City | 11 |
| Nolan Hansen | Willard | 12 |
| Julio Cruz | Monett | 12 |
| Mason Hedger | Webb City | 11 |
| Payson Reisner | Bolivar | 11 |
| Hoyt Stiner | West Plains | 10 |
| Gavin Crawford | Bolivar | 12 |
| 2nd Team | ||
| Gary Adams | Willard | 11 |
| Carson King | West Plains | 10 |
| Zach Mitchell | Marshfield | 11 |
| Ridge Smith | West Plains | 12 |
| Jackson Free | West Plains | 9 |
| Kyler Gunter | West Plains | 10 |
| Alex Keeling | Willard | 12 |
| Honorable Mention | ||
| Stewart Call | West Plains | 11 |
| Spencer Kendall | Webb City | 10 |
| Nathaniel Aguilarleon | Rolla | 10 |
| Cooper Hall | Willard | 11 |
| Victor Salas | Monett | 10 |
| Isaac Willoughby | Carl Junction | 10 |
| Luke Govero | Willard | 10 |
| Hunter Leach | McDonald County | 12 |
| Trevin Smith | West Plains | 9 |
| Brayden Shenefield | Rolla | 9 |
