| | | |
| September 24, 2022 | W | Lethbridge Hurricanes 1 at Medicine Hat Tigers 9 | Final |
| September 30, 2022 | L | Medicine Hat Tigers 4 at Lethbridge Hurricanes 5 | Final |
| October 1, 2022 | L | Winnipeg Ice 5 at Medicine Hat Tigers 2 | Final |
| October 7, 2022 | W | Medicine Hat Tigers 6 at Everett Silvertips 3 | Final |
| October 8, 2022 | L | Medicine Hat Tigers 3 at Portland Winterhawks 4 | Final (OT) |
| October 11, 2022 | L | Medicine Hat Tigers 2 at Seattle Thunderbirds 5 | Final |
| October 12, 2022 | W | Medicine Hat Tigers 11 at Tri-City Americans 3 | Final |
| October 14, 2022 | L | Medicine Hat Tigers 3 at Spokane Chiefs 6 | Final |
| October 21, 2022 | L | Red Deer Rebels 4 at Medicine Hat Tigers 2 | Final |
| October 22, 2022 | W | Brandon Wheat Kings 1 at Medicine Hat Tigers 5 | Final |
| October 28, 2022 | L | Saskatoon Blades 2 at Medicine Hat Tigers 1 | Final |
| October 29, 2022 | L | Victoria Royals 4 at Medicine Hat Tigers 3 | Final (OT) |
| November 1, 2022 | L | Vancouver Giants 3 at Medicine Hat Tigers 2 | Final (OT) |
| November 4, 2022 | L | Medicine Hat Tigers 1 at Calgary Hitmen 5 | Final |
| November 5, 2022 | L | Lethbridge Hurricanes 3 at Medicine Hat Tigers 2 | Final |
| November 8, 2022 | L | Prince Albert Raiders 3 at Medicine Hat Tigers 1 | Final |
| November 11, 2022 | L | Moose Jaw Warriors 5 at Medicine Hat Tigers 4 | Final (SO) |
| November 12, 2022 | W | Medicine Hat Tigers 5 at Moose Jaw Warriors 1 | Final |
| November 16, 2022 | W | Brandon Wheat Kings 1 at Medicine Hat Tigers 6 | Final |
| November 18, 2022 | L | Medicine Hat Tigers 3 at Saskatoon Blades 4 | Final (OT) |
| November 19, 2022 | L | Medicine Hat Tigers 4 at Prince Albert Raiders 5 | Final |
| November 23, 2022 | W | Edmonton Oil Kings 1 at Medicine Hat Tigers 6 | Final |
| November 25, 2022 | W | Medicine Hat Tigers 3 at Red Deer Rebels 2 | Final (SO) |
| November 26, 2022 | L | Calgary Hitmen 5 at Medicine Hat Tigers 2 | Final |
| November 27, 2022 | L | Prince Albert Raiders 4 at Medicine Hat Tigers 2 | Final |
| December 2, 2022 | W | Medicine Hat Tigers 4 at Calgary Hitmen 3 | Final |
| December 3, 2022 | L | Saskatoon Blades 2 at Medicine Hat Tigers 1 | Final |
| December 6, 2022 | W | Medicine Hat Tigers 4 at Edmonton Oil Kings 2 | Final |
| December 7, 2022 | L | Medicine Hat Tigers 2 at Red Deer Rebels 5 | Final |
| December 9, 2022 | L | Medicine Hat Tigers 3 at Lethbridge Hurricanes 5 | Final |
| December 10, 2022 | W | Moose Jaw Warriors 3 at Medicine Hat Tigers 6 | Final |
| December 13, 2022 | L | Medicine Hat Tigers 3 at Saskatoon Blades 8 | Final |
| December 14, 2022 | W | Medicine Hat Tigers 3 at Prince Albert Raiders 2 | Final |
| December 16, 2022 | L | Red Deer Rebels 6 at Medicine Hat Tigers 4 | Final |
| December 17, 2022 | W | Kelowna Rockets 1 at Medicine Hat Tigers 4 | Final |
| December 27, 2022 | L | Medicine Hat Tigers 2 at Lethbridge Hurricanes 3 | Final |
| December 28, 2022 | | Swift Current Broncos at Medicine Hat Tigers | Ppd. |
| December 31, 2022 | L | Medicine Hat Tigers 3 at Swift Current Broncos 4 | Final (OT) |
| January 6, 2023 | W | Medicine Hat Tigers 3 at Edmonton Oil Kings 2 | Final |
| January 7, 2023 | L | Swift Current Broncos 6 at Medicine Hat Tigers 4 | Final |
| January 10, 2023 | L | Medicine Hat Tigers 1 at Swift Current Broncos 3 | Final |
| January 13, 2023 | W | Medicine Hat Tigers 4 at Brandon Wheat Kings 3 | Final |
| January 14, 2023 | L | Medicine Hat Tigers 3 at Winnipeg Ice 8 | Final |
| January 17, 2023 | W | Prince George Cougars 2 at Medicine Hat Tigers 5 | Final |
| January 18, 2023 | W | Medicine Hat Tigers 5 at Swift Current Broncos 4 | Final (SO) |
| January 21, 2023 | W | Calgary Hitmen 1 at Medicine Hat Tigers 7 | Final |
| January 22, 2023 | L | Swift Current Broncos 4 at Medicine Hat Tigers 3 | Final (OT) |
| January 28, 2023 | L | Medicine Hat Tigers 2 at Moose Jaw Warriors 3 | Final (OT) |
| January 29, 2023 | W | Medicine Hat Tigers 6 at Regina Pats 4 | Final |
| February 4, 2023 | W | Lethbridge Hurricanes 2 at Medicine Hat Tigers 4 | Final |
| February 5, 2023 | W | Regina Pats 1 at Medicine Hat Tigers 5 | Final |
| February 10, 2023 | L | Medicine Hat Tigers 0 at Lethbridge Hurricanes 3 | Final |
| February 11, 2023 | W | Lethbridge Hurricanes 2 at Medicine Hat Tigers 3 | Final (SO) |
| February 18, 2023 | L | Red Deer Rebels 5 at Medicine Hat Tigers 4 | Final (OT) |
| February 20, 2023 | W | Medicine Hat Tigers 4 at Red Deer Rebels 1 | Final |
| February 22, 2023 | L | Medicine Hat Tigers 3 at Regina Pats 6 | Final |
| February 25, 2023 | W | Kamloops Blazers 3 at Medicine Hat Tigers 7 | Final |
| February 28, 2023 | L | Swift Current Broncos 5 at Medicine Hat Tigers 2 | Final |
| March 1, 2023 | W | Winnipeg Ice 4 at Medicine Hat Tigers 6 | Final |
| March 3, 2023 | W | Edmonton Oil Kings 2 at Medicine Hat Tigers 5 | Final |
| March 7, 2023 | L | Medicine Hat Tigers 1 at Winnipeg Ice 3 | Final |
| March 8, 2023 | L | Medicine Hat Tigers 0 at Brandon Wheat Kings 2 | Final |
| March 11, 2023 | W | Regina Pats 0 at Medicine Hat Tigers 7 | Final |
| March 17, 2023 | W | Medicine Hat Tigers 7 at Edmonton Oil Kings 2 | Final |
| March 18, 2023 | L | Calgary Hitmen 2 at Medicine Hat Tigers 0 | Final |
| March 19, 2023 | L | Medicine Hat Tigers 3 at Calgary Hitmen 4 | Final |
| March 22, 2023 | W | Edmonton Oil Kings 2 at Medicine Hat Tigers 8 | Final |
| March 24, 2023 | L | Medicine Hat Tigers 1 at Swift Current Broncos 3 | Final |
| March 25, 2023 | W | Swift Current Broncos 3 at Medicine Hat Tigers 4 | Final |
| March 31, 2023 | L | Medicine Hat Tigers 3 at Winnipeg Ice 5 (Playoff Gm. 1) | Final |
| April 1, 2023 | L | Medicine Hat Tigers 2 at Winnipeg Ice 5 (Playoff Gm. 2) | Final |
| April 4, 2023 | L | Winnipeg Ice 7 at Medicine Hat Tigers 2 (Playoff Gm. 3) | Final |
| April 5, 2023 | L | Winnipeg Ice 3 at Medicine Hat Tigers 2 (Playoff Gm. 4) | Final |
Medicine Hat Tigers Schedule
