The main event was a Three Way match for the TNA World Heavyweight Championship between then-champion Samoa Joe and challengers Kaz and Scott Steiner.

Sacrifice is noted for the Deuces Wild Tag Team Tournament and the debut of the TerrorDome, later renamed the Steel Asylum at TNA's Bound for Glory IV PPV event on October 12, 2008.

Chris Sokol of the professional wrestling section of the Canadian Online Explorer rated Sacrifice a seven out of ten, the same ranking he gave the 2007 event.

[6] The main event at Sacrifice was a Three Way match for the TNA World Heavyweight Championship between then-champion Samoa Joe and challengers Kurt Angle and Scott Steiner.

[7] Prior to Lockdown on the April 3 episode of Impact!, Steiner announced that he would use his Feast or Fired TNA World Heavyweight Title shot at Sacrifice.

[8] Staying true to his word, on the April 17 episode of Impact!, Steiner challenged Joe to a title defense at Sacrifice.

During the match, Young switched to his "Super Eric" superhero character and pinned Styles to win the championship for his team.

[14] The TNA Knockouts Makeover Battle Royal and the debut of the X Division TerrorDome were promoted as featured matches for the Sacrifice undercard.

An added stipulation to the bout was that the loser's head would be shaved and the winner would earn a TNA Women's Knockout Championship match.

[12] On the May 8 episode of Impact!, Gail Kim won a Ten-Woman Clippers on a Pole match that granted her immunity from having her head shaven if she lost at the event.

The participants were Alex Shelley, Chris Sabin, Consequences Creed, Curry Man, Jay Lethal, Jimmy Rave, Johnny Devine, Kaz, Shark Boy, and Sonjay Dutt.

[14] At the start of the program, Kurt Angle announced he received a legitimate neck injury wrestling overseas a few days prior to the show.

Mike Tenay and Don West were the primary commentators for the telecast; Frank Trigg provided guest commentary for the main event.

In addition, Angle, Trigg, Kevin Nash, Rick Steiner, Jim Cornette, Petey Williams, Hector Guerrero, Raisha Saeed, and members of Samoa Joe's family appeared on camera in backstage or ringside segments.

[19] In the third quarterfinal match, Latin American Xchange (Hernandez and Homicide; LAX), accompanied by Hector Guerrero, fought the team of Kip James and Matt Morgan.

The match ended after four minutes and twenty seconds when Morgan missed a bicycle kick on Hernandez, mistakenly hitting Kip in the face.

[18] The fifth match was the debut of the TerrorDome and involved Alex Shelley, Chris Sabin, Consequences Creed, Curry Man, Jay Lethal, Jimmy Rave, Johnny Devine, Kaz, Shark Boy, and Sonjay Dutt.

Before the match, Management Director Jim Cornette announced that the winner would take Kurt Angle's place in the main event, in addition to being the TNA X Division Championship number one contender.

During the contest, Team 3D associate Johnny Devine came to the ring and handed Ray a kendo stick without the referee's knowledge.

Afterwards, the referee counted the pin, giving LAX the win at seven minutes and forty seconds, although Styles' shoulders were clearly not fully against the mat.

It involved Angelina Love, Christy Hemme, Gail Kim, Jackie Moore, ODB, Salinas, Rhaka Khan, Roxxi Laveaux, Traci Brooks, and Velvet Sky.

The winner of the ladder match would become the number one contender to the TNA Women's Knockout Championship; the loser would have her head shaved.

[19] The main event was a Three Way match for the TNA World Heavyweight Championship between then-champion Samoa Joe and challengers Kaz and Scott Steiner—Steiner was accompanied by Petey Williams and Rhaka Khan.

[22] Sokol felt that Sacrifice was a "decent PPV", and "interesting" overall and rated main event a seven and a half out of ten; he described it as a "solid match, with good wrestling".

[15] Sacrifice received a higher rating than rival World Wrestling Entertainment's Judgment Day PPV event, held on May 19, which Bob Kapur gave a six out of ten.

Angle was expected to be sidelined for at least one month, putting TNA's original plan, a match between him and A. J. Styles at Slammiversary, in jeopardy.

[26] Following Sacrifice, Samoa Joe defended the TNA World Heavyweight Championship against four other competitors in a King of the Mountain match at Slammiversary.

[27] Booker T, Christian Cage, James Storm, Matt Morgan, Rhino, Robert Roode, Styles, and Tomko competed in qualification matches for the contest on the May 22 and May 29 Impact!

Gail Kim was given a TNA Women's Knockout Championship match against then-champion Awesome Kong on the May 15 episode of Impact!.

[22] The new number one contender to the TNA X Division Championship, Kaz, was given a title match against then-champion Petey Williams at Slammiversary.