Extreme winter temperatures during the 2018–2019 dormant season contributed to trunk collapse and complete trunk death of numerous genotypes throughout a diverse grapevine planting in eastern North Dakota, USA. Through the early portion of the dormant season, 12 genotypes were screened to identify lethal temperature exotherms of primary buds; from these results, none were anticipated to be fully prepared to survive the −37 °C minimum temperature recorded in the region. Trunk collapse, death, and survival were monitored for 35 replicated genotypes. New trunks were retrained from suckers and monitored for growth following trunk removal. Only five genotypes exceeded 50% trunk survival at the end of the 2019 growing season, ‘Valiant’, ‘King of the North’, ‘John Viola’, ‘Baltica’, and ‘Bluebell’. Following re-establishment, ‘La Crescent’ was the most vigorous genotype with the largest sucker circumference, sucker length, and internode length. Nearly all genotypes evaluated produced suckers with lengths approaching the high-wire trellis height (1.8 m), designating their potential for cordon retraining in 2020. Cumulatively, however, the lethal temperature exotherm results and the trunk survival examination indicate a harrowing need for investigation of new management practices (such as protected training systems) and the generation of new cold-hardy genotypes to enhance productivity under standard unprotected systems.