It also saw Ron Simmons defend the WCW World Heavyweight Championship against "Dr. Death" Steve Williams; the team of Shane Douglas and Ricky Steamboat putting the WCW World Tag Team Championship on the line against the team of Brian Pillman and Barry Windham; and Masahiro Chono defend the NWA World Heavyweight Championship against The Great Muta.

In addition, Sting faced off against Big Van Vader in the finals of the "King of Cable" tournament.

It was the last WCW Pay-Per-View for announcer Jim Ross, who left for the World Wrestling Federation (now WWE) shortly thereafter.

This was also the last Starrcade featuring championships from the National Wrestling Alliance, WCW would leave the NWA for good in September, 1993.

The first match of the "Lethal Lottery" was drawn at random as part of the Clash of the Champions XXI show on November 18, 1992, which paired up Johnny B. Badd and Cactus Jack to face the team of Van Hammer and Danny Spivey, who won as part of the Starrcade show.