The title was unveiled on July 18, 2018, it is contested in MLW's middleweight division by wrestlers at a maximum weight of 205 lb (93 kg).

On June 28, 2018, Major League Wrestling (MLW) announced the creation of the MLW World Middleweight Championship, for their middleweight division instead of the "cruiserweight" division, which is more common in American professional wrestling.

[2][3] Also announced was an singles match between Maxwell Jacob Friedman and Joey Ryan to crown the first champion.

[1] The following day, Maxwell Jacob Friedman defeated Joey Ryan to become the inaugural MLW World Middleweight Championship (air date July 27, 2018).

[9] Teddy Hart would defeat El Hijo de L.A. Park, Dezmond Xavier, Gringo Loco and Kotto Brazil in a five-way ladder match on December 14 at MLW Fusion Live to win the title.