Needing to match United's result at Sunderland, City grabbed their first title since 1968 with an astonishing 3-2 victory over Queens Park Rangers that was only sealed with two goals in injury time.
On a dramatic afternoon of matches across the country, City capped it all by bouncing back from 2-1 down against the 10-men to snatch a late, late victory.
United did their part - a 1-0 win at Sunderland thanks to Wayne Rooney's goal - and for a long time that appeared to be enough.
But no-one told Edin Dzeko and Sergio Aguero. With City's fans streaming out of the Etihad Stadium with the 90 minutes up and their title dreams seemingly dead, Dzeko popped up to make it 2-2.
And moments later - in the last roll of the dice - Aguero kept his cool to fire home and send the home fans wild.
Up at the Stadium of Light, United's shellshocked players and fans could not believe what they were hearing.
Amid the madness at the Etihad Stadium, QPR also secured their Premier League survival - with Bolton relegated - despite Joey Barton's foolish red card for fighting with City's players.
And Arsenal ensured they finished above rivals Spurs in third place thanks to a 3-2 win at West Brom.
But it was at the Etihad Stadium where the maddest scenes were. City's players later emerged to lift the Premier League trophy on a day their fans have dreamed of for what seems like an eternity.
They will party now before enjoying it all again with a victory parade that leaves from Albert Square at 6.30pm on Monday, finishing in Corporation Street.
City appeared on course for a comfortable title win when Pablo Zabaleta struck to put them ahead just before half-time.
Yet, they imploded after the break as Joleon Lescott's mistake let Djibril Cisse in to equalise and silence the home fans. And it got even worse when Jamie Mackie nodded home to put QPR 2-1 ahead.
As the clock ticked down, City became increasingly desperate and it seemed their dream of finishing above United was dead.
But in scenes that all fans - not just those who support City - will never forget, Dzeko and Aguero popped up to deliver the goods.
Boss Roberto Mancini admitted it has been a 'crazy season' with a 'crazy ending'.
He said: 'It was incredible - they deserved this. To win it like this is incredible. I don't think I've ever seen a finale like this. We didn't deserve to lose, we had a lot of chances and we deserved to win the game and championship.
'It's fantastic for the club and the supporters after 44 years. It's been a crazy season and a crazy last minute. Five minutes from the end, I didn't think we'd win this game. But we deserved to win this and deserved to win the title.
'We were on top for 20 games. I think for us it was really important to start winning this championship, Manchester City can have a big future now.'
City captain Vincent Kompany admitted the dramatic ending was almost too much for him. He said: 'You want to say it's the best moment of your life but, if I'm honest, please never again this way. Even though the first half was really good we just couldn't get through.
'I never stopped believing. When Edin scored that goal, it reminded me of so many other moments during the season when we've done this before. There was no reason not to believe.
'It's not sunk in yet. I don't know what happened at the end, it was just a huge mess. I'm so happy for the guys cos they've given so much this season. We've dreamed of this all our lives and now we're champions. See the fans and how happy they are - unbelievable.'
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