The championship was created and debuted on July 27, 2002, at ROH's Crowning a Champion event.
Originally called the ROH Championship, the title was renamed to the ROH World Championship in May 2003 after the title was defended outside the United States for the first time—earlier that month, then-champion Samoa Joe had defeated The Zebra Kid in London, England, at the Frontiers of Honor event co-promoted with the Frontier Wrestling Alliance.
ROH World Championship reigns are determined by professional wrestling matches, in which competitors are involved in scripted rivalries.
Reigns that were won on pay-per-view events aired on tape delay up to weeks or months apart.
He defeated Mark Briscoe in a Ladder War on October 23, 2024, in Salt Lake City, Utah on AEW Dynamite.