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Survival of the Fittest 2010 was the sixth annual Survival of the Fittest tournament held by Ring of Honor. The show took place on November 12, 2010 in Dearborn, Michigan at the The Ford Community & Performing Arts Center.
- Numbers in parentheses indicate the length of the match.
- (c) refers to the champion(s) heading into the match.
- Claudio Castagnoli (w/ Sara Del Rey & Shane Hagadorn) defeated Grizzly Redwood in a Survival Of The Fittest 2010 Qualifying Match (5:05)
- Kevin Steen (w/ Steve Corino) defeated Kyle O'Reilly in a Survival Of The Fittest 2010 Qualifying Match (10:19)
- Adam Cole defeated Steve Corino (w/ Kevin Steen) in a Survival Of The Fittest 2010 Qualifying Match (6:46)
- Eddie Edwards defeated Chris Hero (w/ Sara Del Rey & Shane Hagadorn) in a Survival Of The Fittest 2010 Qualifying Match (6:45)
- Christopher Daniels & The Briscoes (Jay Briscoe & Mark Briscoe) defeated The House Of Truth (Michael Elgin, Roderick Strong & Zach Gowen) (w/ Truth Martini) (20:58)
- Eddie Edwards defeated Adam Cole and Claudio Castagnoli and Kenny King and Kevin Steen and Rhett Titus in a Survival Of The Fittest 2010 Final Match (16:12)
- Claudio Castagnoli eliminated Kevin Steen (0:08)
- Claudio Castagnoli eliminated Adam Cole (9:19)
- Claudio Castagnoli eliminated Rhett Titus (12:18)
- Kenny King eliminated Claudio Castagnoli (14:23)
- Eddie Edwards eliminated Kenny King (16:12)
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