In the main event, Dolph Ziggler retained Raw's Intercontinental Championship by defeating Seth Rollins 5–4 in an Iron Man match that went into sudden death overtime.

In other prominent matches, Alexa Bliss retained the Raw Women's Championship against Nia Jax in an Extreme Rules match, Bobby Lashley defeated Roman Reigns, and Shinsuke Nakamura defeated Jeff Hardy to win SmackDown's United States Championship.

[13] On the June 4 episode of Raw, The B-Team (Bo Dallas and Curtis Axel) won a tag team battle royal to earn the right to face "Woken" Matt Hardy and Bray Wyatt for the Raw Tag Team Championship.

[14] On the June 25 episode of Raw, Axel defeated Hardy and the tag team title match was scheduled for Extreme Rules.

Reigns and Lashley wanted to face each other, but Angle instead had them team up against The Revival (Scott Dawson and Dash Wilder).

[8] Over the next few weeks, Strowman continuously embarrassed Owens including flipping his car over in the parking lot,[9] and locking him inside a portable toilet.

[11] On the June 19 episode of SmackDown, Rusev won a gauntlet match to become the number one contender for AJ Styles' WWE Championship at Extreme Rules.

[15] Prior to the gauntlet match, Daniel Bryan had a stare down with SmackDown Tag Team Champions The Bludgeon Brothers (Harper and Rowan).

[15] On the June 26 episode of SmackDown, Kane returned to save Bryan from a post-match assault from The Bludgeon Brothers, reuniting Team Hell No.

SmackDown General Manager Paige then scheduled Team Hell No to face The Bludgeon Brothers for the tag titles at Extreme Rules.

[16] At Money in the Bank, Carmella defeated Asuka to retain the SmackDown Women's Championship with the help of the returning James Ellsworth.

[15] On the June 26 episode of SmackDown, General Manager Paige scheduled a rematch for the title at Extreme Rules.

[17] On the July 3 episode of SmackDown, The New Day's (Kofi Kingston, Big E, and Xavier Woods) were having a pancake-eating competition when they were interrupted by Sanity (Eric Young, Alexander Wolfe, and Killian Dain), who laid out The New Day, including putting Woods through a table.

[20] Next, The New Day (Big E, Kofi Kingston, and Xavier Woods) faced Sanity (Eric Young, Alexander Wolfe, and Killian Dain) in a tables match.

[20] The actual pay-per-view opened with Matt Hardy and Bray Wyatt defending the Raw Tag Team Championship against The B-Team (Bo Dallas and Curtis Axel).

[21] After that, Carmella defended the SmackDown Women's Championship against Asuka, with James Ellsworth suspended above the ring in a shark cage.

Whilst the referee was distracted by Ellsworth, Carmella shoved Asuka into the cage and pinned her to retain the title.

After the match, Randy Orton appeared, making his return, and stared down with Nakamura, who was standing on top of the announce table.

Due to an attack by Harper and Rowan earlier in the event that injured Kane's ankle, Bryan initially competed alone.

[21] In the penultimate match, AJ Styles defended the WWE Championship against Rusev, accompanied by Aiden English.

Styles applied the "Calf Crusher", but English pushed the ring rope, which Rusev grabbed to void the hold.

In the climax, Styles performed a baseball slide on English and a "Phenomenal Forearm" on Rusev to retain the title.

[21] In the main event, Dolph Ziggler (accompanied by Drew McIntyre) defended the Intercontinental Championship against Seth Rollins in a 30-minute Iron Man match.

However, Raw General Manager Kurt Angle ordered the match to restart under sudden death overtime.

[21] At Extreme Rules, General Manager Kurt Angle offered Brock Lesnar an ultimatum: show up on Raw the next night or agree to the terms of his next title defense, otherwise he would be stripped of the Universal Championship.

[28] Team Hell No were assaulted by The Bludgeon Brothers backstage before their match, and (kayfabe) injured Kane's ankle.

Thus once again caused Team Hell No to disband which resulted in Daniel Bryan then continuing his feud with The Miz on SmackDown,[29][30] which led to a match between the two being made official for SummerSlam.