The title was officially announced in a press release on August 30, 2016, and marked the first new title created by ROH in six years, following the 2010 creation of the ROH World Television Championship. ROH promoted the title as the first time in nearly 30 years that a major American promotion had had a six-man tag team title.
Like most professional wrestling championships, the title is won as a result of a match with a predetermined outcome. Bully Ray and The Briscoes (Jay Briscoe and Mark Briscoe) are the current champions in their first reign both individually and as a trio.
The tournament to crown the inaugural ROH World Six-Man Tag Team Champions takes place between September 30 and December 2. The tournament featured participants from the Mexican Consejo Mundial de Lucha Libre (CMLL) and Japanese New Japan Pro Wrestling (NJPW) promotions, both of which ROH had a working relationship with. ROH noted how six-man tag team matches were a staple of Mexican lucha libre and how NJPW had recently created its own six-man tag team title, the NEVER Openweight 6-Man Tag Team Championship, which had first been won by a trio made up of NJPW wrestler Toru Yano and the ROH tag team The Briscoes (Jay Briscoe and Mark Briscoe). Lio Rush was originally announced for the tournament, but ended up being replaced by NJPW wrestler Kushida. However, Rush eventually returned to the team, replacing ACH in the finals due to his departure from ROH. The tournament started on September 30 at the All Star Extravaganza VIII pay-per-view (PPV), with the remaining first round and semifinal matches taking place at the October 1 and 29 tapings of the weekly Ring of Honor Wrestling program. The finals of the tournament are set to take place at the Final Battle PPV.
- ACH/Lio Rush, Jay White and Kushida
- The Addiction (Christopher Daniels and Frankie Kazarian) and Kamaitachi
- The Briscoes (Jay Briscoe and Mark Briscoe) and Toru Yano
- Bullet Club (Adam Cole, Matt Jackson and Nick Jackson)
- The Cabinet (Caprice Coleman, Kenny King and Rhett Titus)
- Jason Kincaid, Leon St. Giovanni and Shaheem Ali
- The Kingdom (Matt Taven, T.K. O'Ryan and Vinny Marseglia)
- Team CMLL (Hechicero, Okumura and Último Guerrero)
|Current Ring of Honor Championships|
|ROH World Championship|
ROH World Tag Team Championship
ROH World Television Championship
ROH World Six-Man Tag Team Championship
| ROH Pure Championship|
ROH Number One Contender's Trophy
ROH Top of the Class Trophy