• Cauliflower Alley Club
  • Tag Team Award (2018) - with Stevie Ray[18]
• George Tragos/Lou Thesz Hall of Fame
  • Class of 2018
• Global Wrestling Federation
  • GWF Tag Team Championship (3 times) – with Stevie Ray[19]
• Las Vegas Pro Wrestling
  • LVPW UWF Heavyweight Championship (1 time)[20]
• Prairie Wrestling Alliance
  • PWA Heavyweight Championship (1 time)[21]
• Pro Wrestling Illustrated
  • Inspirational Wrestler of the Year (2000)[22]
  • Most Improved Wrestler of the Year (1998)[22]
  • Tag Team of the Year (1995, 1996) with Stevie Ray[22]
  • Ranked No. 5 of the top 500 wrestlers in the PWI 500 in 2001[23]
• Texas All-Pro Wrestling
  • TAP Heavyweight Championship (1 time)[24]
• Reality of Wrestling
  • ROW Tag Team Championship (1 time) – with Stevie Ray[25]
• Total Nonstop Action Wrestling
  • TNA Legends Championship (1 time, inaugural)[26]
  • TNA World Tag Team Championship (1 time) – with Scott Steiner[26]
• World Championship Wrestling
  • WCW World Heavyweight Championship (4 times)[27]
  • WCW World Television Championship (6 times)[28]
  • WCW United States Heavyweight Championship (1 time)[29]
  • WCW World Tag Team Championship (10 times) – with Stevie Ray[30]
  • Eleventh WCW Triple Crown Champion
• World Wrestling Federation/World Wrestling Entertainment/WWE
  • WCW Championship (1 time)1
  • World Heavyweight Championship (1 time)[31]
  • WWE Intercontinental Championship (1 time)[32]
  • WWE United States Championship (3 times)[29]
  • WWF Hardcore Championship (2 times)[33]
  • WWF/World Tag Team Championship (3 times) – with Test (1), Goldust (1) and Rob Van Dam (1)[34]
  • WCW Tag Team Championship (1 time)2 – with Test
  • King of the Ring (2006)[35]
  • WWE Hall of Fame (Class of 2013)
  • Sixteenth Triple Crown Champion
  • Ninth Grand Slam Champion
• Wrestling Observer Newsletter
  • Most Underrated (2002)
  • Worst Television Announcer (2017)

1 Booker T's fifth WCW World Heavyweight Championship reign overall and first under the WWF banner, where it was known as the WCW Championship.

2 Booker T's eleventh WCW World Tag Team Championship reign overall and first under the WWF banner, where it was known as the WCW Tag Team Championship.