Title reigns were determined by professional wrestling hardcore match types with wrestlers involved in pre-existing scriptsfeuds, plots and storylines or were awarded the title due to scripted circumstances. Wrestlers were portrayed as either villains or fan favorites as they followed a series of tension-building events, which culminated in a hardcore wrestling type match or series of matches for the championship. The inaugural champion was Norman Smiley, who defeated Brian Knobs at Mayhem. Before the promotion's purchase, the title was vacant, though, Meng was the final wrestler to hold the championship. The title was won in Canadian municipalities and in American states. Smiley held the title the longest at 51 days, and at less than one day, Carl Oullete has the shortest title reign. Brian Knobs has won the title on three occasions, the most in the championship's history; this also ties with the number of times the title was vacated. Overall, there were 18 reigns.
Helms, Karagias, and Moore, known as the 3 Countstable, defeated Knobs simultaneously in a match, and as a result, WCW allowed the freebird rule in which all three wrestlers were able to defend the title.
WCW President Eric Bischoff awarded Vito and Johnny the title, and he announced that the freebird rule was in effect for this title reign, allowing both wrestlers to defend the title. This title reign aired on tape delay.