Since 2003 the 1st seed in the Eastern Conference fails to make the NBA Finals in 20 out of 24 instances.
| Team | Team Finish |
|---|---|
| 2003 Pistons | Lost in Conf Finals |
| 2004 Pacers | Lost in Conf Finals |
| 2005 Heat | Lost in Conf Finals |
| 2006 Pistons | Lost in Conf Finals |
| 2007 Pistons | Lost in Conf Finals |
| 2008 Celtics | **Won Championship** |
| 2009 Cavaliers | Lost in Conf Finals |
| 2010 Cavaliers | Lost in Conf Semis |
| 2011 Bulls | Lost in Conf Finals |
| 2012 Bulls | Lost in First Round |
| 2013 Heat | **Won Championship** |
| 2014 Pacers | Lost in Conf Finals |
| 2015 Hawks | Lost in Conf Finals |
| 2016 Cavaliers | **Won Championship** |
| 2017 Celtics | Lost in Conf Finals |
| 2018 Raptors | Lost in Conf Semis |
| 2019 Bucks | Lost in Conf Finals |
| 2020 Bucks | Lost in Conf Semis |
| 2021 Sixers | Lost in Conf Semis |
| 2022 Heat | Lost in Conf Finals |
| 2023 Bucks | Lost in First Round |
| 2024 Celtics | **Won Championship** |
| 2025 Cavaliers | Lost in Conf Semis |
| 2026 Pistons | Lost in Conf Semis |
For comparison the 1st seed in the Western Conference since 2003 has made the finals in 12 out of 24 instances.