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The 2009–10 National League B season was the 63rd season played in the National League B, Switzerland's second-tier professional ice hockey league. The season started with 11 teams, but the Young-Sprinters had to withdraw after 15 games due to financial difficulties. In Round 38, Dominic Forget made a historic moment when he scored five seconds after the game started, a new league record. EHC Visp won the regular season championship with a one-point edge over second-place EHC Olten. The winner of the playoffs was Lausanne HC, the third-ranked team of the regular season.
Since 2007, the four top-ranked clubs have been allowed to choose an opponent from places 5-8 in the table for the quarter-finals. The play-offs were played in a best-of-seven format.