In the main event, John Cena defeated Batista in a Last Man Standing match to retain Raw's WWE Championship.

In 2009, World Wrestling Entertainment (WWE) established Extreme Rules as a gimmick pay-per-view (PPV), replacing One Night Stand.

Just like One Night Stand, the concept of the show was that the event featured various matches that were contested under hardcore rules.

The event took place on April 25, 2010, at the 1st Mariner Arena in Baltimore, Maryland and featured wrestlers from the Raw and SmackDown brands.

[9] The main storyline from the Raw brand featured John Cena and Batista feuding over the WWE Championship.

The feud had begun several months previously and been a feature of several pay-per-views, including WrestleMania XXVI, where Cena defeated Batista to win the championship.

[11] World Heavyweight Champion Jack Swagger from the SmackDown brand was scheduled to face Raw wrestler Randy Orton.

[10] On the following episode of SmackDown, after being refused a rematch, Edge attacked Jericho, allowing Jack Swagger to cash in his Money in the Bank contract and win the championship.

Sheamus felt that Triple H was responsible for him losing the WWE Championship at the Elimination Chamber pay-per-view, and so challenged him to a match at WrestleMania,[16] but lost.

[10] As a result, the following night on Raw, Sheamus attacked Triple H with a lead pipe, and it was announced that the two would meet in a Street Fight at Extreme Rules.

They wrestled at WrestleMania, with Mysterio winning, allowing him to avoid being forced to join Punk's stable, The Straight Edge Society.

[12] Before the event went live on pay-per-view, Kofi Kingston defeated Dolph Ziggler in a dark match.

The next team was Montel Vontavious Porter and Mark Henry, who also lost after Miz pinned MVP following a KO Punch from Big Show.

Swagger then performed a gutwrench powerbomb on Orton and pinned him to retain the World Heavyweight championship.

As the referee checked on Triple H, he pushed him aside and in a final act of defiance performed the famous "crotch chop", taunting Sheamus.

[3] Later, Michelle McCool defended the Women's Championship against Beth Phoenix in an Extreme Makeover match.

[3] In the main event, John Cena defended the WWE Championship against Batista in a Last Man Standing match.

[4] Because The Hart Dynasty defeated ShoMiz (Big Show and The Miz) at Extreme Rules, they received a tag team championship match the next night on Raw, which they won.

Big Show moved to the SmackDown brand[20] and became the number one contender for the World Heavyweight Championship at Over the Limit.

[23] The next night, Raw general manager Bret Hart told Batista he had to qualify for the WWE Championship Fatal-4-Way at the eponymous pay-per-view, but he refused and lost to Randy Orton by forfeit.

Phoenix eventually dropped the WWE Women's Championship to Layla in a 2-on-1 handicap match on the May 14 edition of SmackDown.

In December at TLC, Phoenix and Natalya defeated LayCool in a Divas Tag Team Tables match.