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One of the show’s two main events was to feature Nigel McGuinness defending the ROH World Championship in a Four Way Fray against Bryan Danielson, Chris Hero and Takeshi Morishima. However, the night before McGuinness was severely injured in his defense against Austin Aries. During the match, Aries dove from the ring, smashing Nigel's face on the edge of the guard rail, resulting in a concussion, a broken nose and a gash about his eye that need 15 stitches. As a result, Aries was added to the Four Way Fray, with the winner getting a shot at the ROH World Championship at the Sixth Anniversary Show.
- The Vulture Squad (Ruckus & Jigsaw) defeated Matt Cross & Bobby Fish
- Larry Sweeney (w/ Sweet n' Sour Inc.) defeated Claudio Castagnoli
- Jack Evans (w/ Julius Smokes) defeated Necro Butcher in a No Disqualification match
- Naomichi Marufuji defeated Davey Richards
- The Hangmen 3 (Adam Pearce, Brent Albright & BJ Whitmer w/Shane Hagadorn) defeated Delirious, Kevin Steen & El Generico in a “Tables are Legal” match
- Rocky Romero defeated Ernie Osiris
- Erick Stevens defeated Roderick Strong (c) to win the FIP World Heavyweight Championship
- Bryan Danielson defeated Austin Aries, Chris Hero (w/ Sweet n' Sour Inc.) and Takeshi Morishima in a Four Way Fray
- The Age of the Fall (Jimmy Jacobs & Tyler Black) defeated the Briscoe Brothers (Jay & Mark Briscoe) (c) to win the ROH World Tag Team Championship