PWX What Doesn't Kill You Makes You Stronger 4 was a professional wrestling event produced by Premiere Wrestling Xperience. It was a pay-per-view, live event held in Winston Salem, North Carolina, at the Ziggy's venue. It was broadcast on Highspots.tv.
- Numbers in parentheses indicate the length of the match.
- (c) refers to the champion(s) heading into the match.
- Billy Brash (c) & Joe Black title match ends in a Time Limit Draw
- Brash defeated Joe Black in the immediate rematch to retain the ITV Championship
- The Bravado Brothers (Harlem Bravado & Lance Bravado) defeated World's Cutest Tag Team (Candice LaRae & Joey Ryan)