The following are the winners of the 18th annual (1991) Origins Award, presented at Origins 1992:
| Category | Winner | Company | Designer(s) |
|---|---|---|---|
| Best Historical Figure Series of 1991 | Pendragon Knight & Lady Sets | Lance & Laser | Tom Meier |
| Best Fantasy or Science Fiction Figure Series of 1991 | Call of Cthulhu | RAFM | Bob Murch |
| Best Fantasy or Science Fiction Figure Series of 1991 | Shadowrun | Ral Partha | Tom Meier, Dennis Mize, David Summers |
| Best Vehicular Miniatures Series of 1991 | BattleTech Mechs & Vehicles | Ral Partha | Jeff Wilhelm, David Summers, Sandy Garrity, Richard Kerr, Tom Meier, Bob Charrette, Julie Guthrie |
| Best Miniatures Accessory Series of 1991 | Battlescapes | Geo Hex | Kieran Rohan |
| Best Miniatures Rules of 1991 | Star Wars Miniatures Rules | West End Games | Stephen Crane |
| Best Roleplaying Rules of 1991 | White Wolf | Mark Rein·Hagen | |
| Best Roleplaying Adventure of 1991 | Horror on the Orient Express (for Call of Cthulhu) | Chaosium | Mark Morrison, with Geoff Gillan, Nick Hagger, Bernard Caleo, Penelope Love, Russell Waters, Marion Anderson, Phil Anderson, Richard Watts, Peter Jeffery, Christian Lehmann, Lynn Willis, Thomas Ligotti |
| Best Roleplaying Supplement of 1991 | GURPS Time Travel | Steve Jackson Games | Steve Jackson, John M Ford |
| Best Play-by-Mail Game of 1991 | Illuminati | Flying Buffalo | Draper Kauffman |
| Best New Play-by-Mail Game of 1991 | Middle Earth | Game Systems Inc | William Feild, Peter Stassun |
| Best Graphic Presentation of a Roleplaying Game, Adventure, or Supplement of 1991 | Horror on the Orient Express (for Call of Cthulhu) | Chaosium | Les Brooks, Lynn Willis, Charlie Krank |
| Best Pre-20th Century Boardgame of 1991 | The Avalon Hill Game Company | ||
| Best Modern-Day Boardgame of 1991 | Columbia | Craig Besinque, Tom Dalgliesh | |
| Best Fantasy or Science Fiction Boardgame of 1991 | Cosmic Encounter | Mayfair | Bill Eberle, Jack Kittridge, Peter Olotka, Bill Norton, Jack Barker, David Goun, Sean Rhoades, Richard Sheaves, Mark Simon. |
| Best Graphic Presentation of a Boardgame of 1991 | Hero Quest | Milton Bradley | |
| Best Fantasy or Science Fiction Computer Game of 1991 | Wing Commander II | Origin Systems | |
| Best Military or Strategy Computer Game of 1991 | Sid Meier's Civilization | Microprose | Sid Meier |
| Best Professional Adventure Gaming Magazine of 1991 | White Wolf | White Wolf | Stewart Wieck, Richard Thomas, Chris McDonough |
| Best Amateur Adventure Gaming Magazine of 1991 | Midwest Wargamers Association Newsletter | Hal Thinglum | |
| Adventure Gaming Hall of Fame | Don Greenwood, Tom Meier | ||