It was the original tag team title of the Atlantic Coast Championship Wrestling promotion during its first year of operation.
In December 1998, the promotion became Mason-Dixon Wrestling and the title became the MDW Tag Team Championship.
The inaugural champions were The Batten Twins (Brad and Bart Batten), after defeating Dark Overlord and Gatekeeper in New Martinsville, West Virginia on November 1, 1997 to become the first ACCW Tag Team Champions.
The Thrillbillies (Ox Williams and Jed Goodman) hold the record for most reigns, with five.
The Masked Assassins' fourth and final reign was the shortest in the history of the title lasting only 1 day.