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The 2022 NCAA Tournament hosted a important game between West Region #2 seed Duke and East Region #8 seed North Carolina in the Semifinals to determine a spot in the 2022 NCAA Division I Men's Basketball Championship Game. The game occurred at the Caesars Superdome, New Orleans, Louisiana (NCAA Tournament Final Four)''

This was the first March Madness game in the history of the Carolina–Duke rivalry.

Following the game at Cameron Indoor Stadium, both teams lost to Virginia Tech in the ACC Tournament in Brooklyn but received at-large bids to the NCAA Tournament. Both then advanced to the Final Four – only the second time it had happened, and the first since 1991 in Indianapolis when the teams were one game away from playing for the national championship. Both teams were set to face each other, with the winner playing Kansas in the national championship game. Ahead of the game, Governor Roy Cooper signed a proclamation proclaiming the state of North Carolina as the center of the college basketball universe.

During the tournament, Mike Krzyzewski passed UCLA's John Wooden for the most Final Four appearances by a single head coach, while North Carolina also set a record with their 21st Final Four appearance. Along the way, Duke bested Michigan State in the final installment of a marquee coaching matchup between Krzyzewski and Tom Izzo and then Arkansas in a rematch of the 1994 national championship game in Charlotte. Meanwhile, North Carolina overcame both reigning national champion Baylor and another 2021 Final Four team in UCLA before beating Saint Peter's, the first #15 seed to advance to the Elite Eight in tournament history. Carolina beat Duke in a thriller with a final score of 81-77 that featured 18 lead changes. North Carolina was led by sophomore Caleb Love, whose 28 point performance included a clutch 3 point shot that stretched the North Carolina lead to 4 with only 24.8 seconds remaining.

The 1992 NCAA Tournament was highlighted by a game between East Region #1 seed Duke and #2 seed Kentucky in the East Regional Final to determine a spot in the Final Four. With 2.1 seconds remaining in overtime, defending national champion Duke trailed 103–102. Grant Hill threw a pass the length of the court to Christian Laettner, who faked right, dribbled once, turned, and hit a jumper as time expired for the 104–103 win. In 2004 Sports Illustrated deemed it the greatest college basketball game of all time, and ESPN included it as number 17 on its list of top 100 sports moments of the past 25 years (see ESPN25). It is ranked number one on the list of the greatest NCAA tournament games of all time compiled by USA Today in 2002.

Kentucky Wildcats
The 1991–92 team is one of the most revered in the University of Kentucky's (UK) long basketball history. The Wildcats were coming off a two-year postseason ban due to major recruiting violations committed during the tenure of Pitino's predecessor Eddie Sutton, although the NCAA found Sutton was not personally liable. The violations mainly centered on alleged cheating by former player Eric Manuel on the ACT college entrance exam and cash payments to the guardian of another former player, Chris Mills. This was notoriously highlighted on the cover of Sports Illustrated called "Kentucky's Shame".

The team's four seniors, three of whom were Kentucky natives, had remained loyal to the program throughout its probation, and would enter Kentucky basketball history as "The Unforgettables". They were:
 * Richie Farmer, a 6'0"/1.83 m shooting guard from Manchester, a small town in the state's eastern coal fields. (He served as the Kentucky Commissioner of Agriculture from 2004 to 2012, and was the Republican nominee for Lieutenant Governor of Kentucky in 2011, and would later serve two years in federal prison after pleading guilty to multiple corruption charges during his tenure as Agriculture Commissioner.)
 * Deron Feldhaus, a 6'7"/2.01 m forward from Maysville, a small Ohio River town in the Bluegrass region, about an hour's drive upriver from Cincinnati.
 * John Pelphrey, a 6'8"/2.03 m forward from another eastern coal town, Paintsville (currently the head coach at Tennessee Tech, and former assistant at Florida and former head coach at Arkansas).
 * Sean Woods, the only non-Kentuckian, a 6'2"/1.88 m point guard from Indianapolis (formerly the head coach at Morehead State).

Although the seniors were the heart and soul of the team, its biggest star was sophomore Jamal Mashburn, who would go on to become a consensus first-team All-American the following season and have a successful 12-year NBA career; he is now an NBA analyst for ESPN.

The legacy of "The Unforgettables" at UK was great enough that the UK program decided to retire their jerseys (but not their numbers) almost immediately after that game. While jersey retirement is not uncommon, it is rare for a school to bestow this honor so soon after a player's career ends.

Duke Blue Devils
Duke entered the 1991-92 season having just won their first ever national championship the previous year and looking to repeat as national champions for the first time since UCLA in 1972 and 1973. They were favored to do so, losing only Greg Koubek and Clay Buckley to graduation and Billy McCaffrey and Crawford Palmer to transfers while retaining their core players including center Laettner, point guard Bobby Hurley and guard/forward Grant Hill and adding recruits Cherokee Parks and Erik Meek to its lineup,

The Blue Devils started the season ranked No. 1 and won their first 17 games. Their unbeaten streak came to an end when they lost a close contest to archrival North Carolina at the Dean Smith Center by a score of 75–73. However, Duke would only lose one other game (to Wake Forest 72–68 in Winston-Salem) for the rest of the season and finished the season with a 25–2 record and the 10th regular-season championship in school history, entering the ACC Tournament as the No. 1 seed and defeating North Carolina in the ACC title game 94–74 to capture their 9th ACC Tournament Championship in school history.

Following this game, Duke successfully concluded their quest to repeat at the Final Four in Minneapolis after first overcoming Indiana 81–78 in Bob Knight's last Final Four appearance as Hoosiers head coach and then sweeping past Michigan, led by the Fab Five, 71–51. In doing so, they also completed a wire-to-wire season ranked #1. Laettner was also the only collegiate player to be named on the 1992 United States men's Olympic team, also known as the Dream Team, which Duke coach Mike Krzyzewski served on as an assistant under Detroit Pistons head coach Chuck Daly before taking the helm from 2006 to 2016.

The game
The game between Kentucky and Duke is considered by some to be the greatest NCAA tournament game ever, being close for the entire 40 minutes plus the 5 minute overtime.

At the end of the first half, Duke led Kentucky 50–45. During the second half, after Aminu Timberlake was knocked down during a play, Laettner stepped on his chest. He was assessed a technical foul, but was not ejected. Kentucky tied the game at 93 with 33.6 seconds left in regulation on a Feldhaus putback of a John Pelphrey miss. Hurley had a chance to win the game as time expired, but he missed the shot and the game went into overtime.

The teams traded the lead through the overtime period. After Kentucky pulled ahead 98–96, Laettner took over for the Blue Devils, scoring their final six points and giving them a 102–101 lead. Kentucky called a timeout with 7.8 seconds left Sean Woods hit a running one-hander in the lane over Laettner to put Kentucky ahead 103–102 with 2.1 seconds remaining.

Duke called a timeout and drew up the final play where Grant Hill would throw a long pass to Laettner at the opposing foul line. They had practiced the play and run it once before in their earlier loss against Wake Forest, but Hill's pass was off target to the left and Laettner was unable to catch it inbounds. Unlike against Wake Forest, Hill was not guarded on the inbounds pass as Kentucky elected to eschew guarding Hill in favor of pitting an extra defender on Laettner. Hill's 79-foot pass found Laettner at the opposite foul line, and Laettner dribbled once to his right, then turned back to his left and shot a turnaround jumper over Feldhaus just before time expired. The ball swished through the net as the buzzer sounded, giving Duke a 104–103 victory. Laettner finished the game with 31 points and 7 rebounds. He was a perfect 10–10 from the field (including one three-pointer) and 10–10 from the free throw line.

After the game, Krzyzewski both consoled Farmer and visited the Kentucky radio booth, where Cawood Ledford had called his last game with Kentucky having been knocked out, and congratulated the Wildcats. Krzyzewski and a number of the 1992 team members including Laettner and Grant Hill later retold and successfully reenacted the play in front of an audience at Duke's Legends Weekend in 1996 at Cameron Indoor Stadium in Durham.