The KO Team Handicap Cup is contested by teams in the Northumbria Table Tennis League who apply to enter. Each team in the competition consists of 3 players with each player from team A playing all the players in team B. There is no doubles so a match consists of 9 games. All games are played on a handicap basis. A grading is allocated to each player who has played in previous season or, if new this season, has completed at least 4 matches in the current league season.
Once a player represents a team in the competition they are cup tied to that team for the season.
There are specific weeks put aside for rounds 1 to 4 of the competition when matches must be played.