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| Date of Event: | August 1 , 2009 |
| Followed By: | Respect Is Earned |
| Channel: | Turing Sports! TV |
| Arena: | Wachovia Center |
| Theme Song: | "37 Stitches" by Drowning Pool Chronology: |
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Extreme Rules II Extreme Rules III Extreme Rules IV Extreme Rules V | |
Matches[]
- RYH Championship-Monsters Ball Match-|c- Triple D vs. Scotty Haas vs. Pain to Rise
- Triple D retained the championship after a precursor to Scotty Haas through a set up ladder.
*National Legends Championship- Falls Count Anywhere Match-|c-Brett Bourne vs. Kasu
- Kasu became the new champion after a Kasu Kick off the top of the ladder.
- World Heavyweight Championship-Back Stage Brawl Match-|c-Cutting Edge vs. Rob Van Dam
- The Cutting Edge retained the championship after a spear through the glass window.
- Hardcore Championship-Lastman Standing Match-|c-Ron Orton vs. Steven Cage vs. Michael Jarrett
- Ron Orton won the match after a RKO off of a ladder on both Steven Cage and Michael Jarrett.
- Undisputed Cruiserweight Championship-Three Stages of Hell Match-|c-Darin Kennedy vs. Chris Risten
- Hell in a Cell:
- Chris Risten won the 1st stage of hell , after a 616 through the top of the cage.
- Steal Cage:
- Chris Risten won the 2nd stage of hell and became the new champion , after nailing the Rapid Motion from the top of the ladder to the floor , causing his opponent's head to hit the cage.
- Doomsday of Blood:
- no 3rd stage of hell due to Chris Risten winning the first two stages.
- Lastman Standing Match-Scorpion vs. Rockman
Jamaican Paradise Match-(no punches-o / slaps , no knee strikes o/kicks, no high flying moves) Ken Kingston vs. Mani Kingston
- Mani Kingston won after a Jamaican in Paradise from the top turnbuckle.
- General Managers Match- Manager's Office Match-(winner wins manager job of the Pain Brand)| Maria Phoenix vs. Trish Stratus
- Maria won the match after nailing the Phoenix on Trish through the metal table.