East Carolina trailed Temple by 8 with just over two and a half minutes remaining, but the Pirates' full court press allowed them to erase that deficit and ECU outscored the Owls, 10-4, in overtime to post the 70-64 win.
RJ Felton, who finished with 24 points and 11 rebounds, led the way for the Pirates.
ECU (11-10, 4-4) will now look to win its third straight game in The American with the South Florida Bulls visit Minges on Wednesday night.