A professional wrestling event presented by World Wrestling Entertainment in which matches are held under "extreme" stipulations. In the 2010 edition emanating from the 1st Mariner Arena in Baltimore, the main event featured John Cena vs. Batista in a Last Man Standing Match for the WWE Championship.
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Gauntlet Match: The Hart Dynasty def. three other teams
With the Unified Tag Team Champions Big Show and The Miz's overconfidence with their dominance in the tag team division, an impromptu match was set at Extreme Rules. Bret Hart was in their corner after having problems in the previous weeks with The Miz.
The Hart Dynasty were the last team to enter the gauntlet against ShoMiz and easily defeated the weakened champions to earn a title shot in the future.
Hair Match: CM Punk def. Rey Mysterio
The match was a rematch from WrestleMania XXVI, in which the stipulation was that if Rey Mysterio lost he would be forced to join CM Punk as a member of the Straight Edge Society. However, this time Punk had something to lose: his hair.
As Rey Mysterio prepared to hit CM Punk with the 619, an unidentified person attacked Mysterio, allowing Punk to hit the GTS and pick up the victory, saving his long locks from being shaved off.
Strap Match: JTG def. Shad Gaspard
JTG and Shad Gaspard had debuted years ago as the tag team Cryme Tyme. However, weeks before Extreme Rules Gaspard turned on his friend, dropping the street look for a cleaner appearance. The two squared off at Extreme Rules in a strap match, which involved both men being tied together by a leather strap that can be used a weapon. To win, one man had to touch all four turnbuckles in succession without being interrupted.
JTG outsmarted Shad Gaspard and was successful in touching the four turnbuckles without Gaspard realizing it, picking up the win.
Extreme Rules Match for the World Heavyweight Championship: Jack Swagger def. Randy Orton
After Jack Swagger used the Money in the Bank Briefcase to win the World Heavyweight Championship from Chris Jericho, Randy Orton began to hunt him down and successfully defeated him twice on SmackDown.
Despite the losing streak, Swagger took advantage of the match stipulations and used anything and everything to beat down Orton. He retained his championship after using the Gutwrench Powerbomb. However, after the match Randy Orton retaliated with an RKO to Swagger.
Street Fight: Sheamus def. Triple H
These two competitors had bad blood for months leading up to Extreme Rules. It spilled over before the match started as Sheamus attacked Triple H in the locker room. Sheamus used a steel pipe on his opponent to incapacitate The Game, forcing referees to step in and break them up.
Despite being injured, the match still took place later in the night. and after a few kicks to the skull, Sheamus defeated Triple H with a pin.
Extreme Makeover Match for the WWE Women's Championship: Beth Phoenix def. Michelle McCool (new champion)
The rules of the Extreme Makeover Match are that a table is set up at ringside full of beauty supplies, such as lipstick and makeup, that could be used as weapons.
Despite interference by Layla and Vickie Guerrero, Beth Phoenix overpowered them all and used the Glam Slam to win the WWE Women's Championship from Michelle McCool.
Steel Cage Match: Edge def. Chris Jericho
After their World Heavyweight Championship Match at WrestleMania XXVI, Edge helped cost Chris Jericho the title on SmackDown to Jack Swagger. Their hatred for each other built up to this Steel Cage Match, so there would be no running away or escape.
Despite being able to climb out of the cage, Edge chose instead to inflict more pain and get revenge on Chris Jericho by hitting a powerful Spear and getting the pinfall.
Last Man Standing Match for the WWE Championship: John Cena def. Batista
After unfairly having the WWE Championship taken from him at Elimination Chamber, John Cena regained the belt from Batista at WrestleMania XXVI. A furious Batista demanded a chance to take it back, and the only way their feud could be settled is in a Last Man Standing Match, where the only way to win is to beat down your opponent until they can't get to their feet by the referee's count of ten.
In a bizarre finish, John Cena used duct tape to tie Batista's feet together around one of the ring posts. Unable to remove the tape and get to his feet, he was forced to watch the referee count to ten and award Cena the WWE Championship.