WWE EXTREME rules organised three title matches, the first one was organised on Sunday, 25th April in Baltimore, Maryland.
The match started by Broadcasters with a street fight between Triple H and Sheamus.
The broadcasters Michael Cole, Jerry Lawler and Matt Striker were taken in awe by Sheamus who was assaulting his opponent Triple H was later found unconscious by a trainer who attended him. The officials and Teddy tried to stop the assault carried out by Sheamus with a lead pipe but were dissuaded in the attempt.
The WWE World Heavyweight Title Match, one of the main events of the night saw two titans Jack Swagger vs Randy Orton clashing. Jack Swagger played an underdog emerging out as the champion. With the match being under the extreme rules Orton used the title belt and scored over Swagger at one point. The match was on Orton's side but Swagger emerged out surprisingly and countered Orton's move putting a viper into the RKO on a chair.Therefore, Swagger retained the title emerging out to be the of the WWE World Heavyweight Title Match.