After Middle Tennessee's Alan Gendreau made a 22-yard field goal to tie it at 16, Josh Evans returned the kickoff 90 yards for a touchdown for Western Kentucky to make it 23-16.
Middle Tennessee answered with Kilgore connecting with Anthony Amos on an 8-yard, fourth-down touchdown pass with 4:55 left. Western Kentucky had a chance to win in regulation, but Shubert Bastien blocked Casey Tinius' 46-yard field goal attempt as time ran out.
In overtime, Kadeem Jones scored the second of his two touchdowns on a 1-yard run for Western Kentucky.
Middle Tennessee answered with Kilgore's 25-yard TD pass to Sancho McDonald.
In the second overtime, Middle Tennessee settled for Gendreau's 23-yard field goal.