This research aimed to determine the quantitative and qualitative structure of winning systems of the world’s leading male table tennis players between 1970 and 2021. The study used the Wu game analysis method, modified by the authors, which consists of observing the game from playback, identifying the winning actions of a given player, and sorting and counting the actions, depending on the accuracy of the observation. The project identified all World Championships and Olympic Games medallists, resulting in 244 men’s matches being analyzed. Three time periods were considered based on the ball used, including the 38 mm celluloid ball, 40 mm celluloid ball, and 40 mm plastic ball. Differences in the level structure, depending on the observation period, were assessed using the chi-squared test of independence. The Pearson contingency coefficient was calculated, and multiple comparisons were made. The research showed that the use of combinations changed slightly with changes in ball size and material. The first three strokes were very important in all periods. However, the importance of serves as direct scoring strokes decreased. These findings may be related to changes in the size and material used for ball production. The most winning serves in the game of the top men were side-spin forehand serves, which were also used most often during 3rd-ball-attack winning combinations. The number of actions won directly with a return, and in the return-counterattack combination, accounted for, and still constitute, about 30%, with an increasing number of backhand flicks. The research also showed an increase in the use of backhand strokes compared to forehand strokes. These findings should be considered when creating basic goals in table tennis training plans.