- Jaymes def. Gemini [2nd] and Chaz Sharpe in a Triple Threat/Elimination Match to become the inaugural champion
- Landers def. Jaymes for the title in a Triple Threat Match that also involved Johnny Kove
- Patrick def. Landers for the title in a Loser-Leaves-ASP Match
- Devil def. Patrick for the title in a Triple Threat Elimination Match that also included Buster Cherry
- The title was vacated January 19, 2020 when Camacho won the ASP Heavyweight Title. Shawn Sanders won a Battle Royal for the vacant title
- Bostic def. Sanders for the title in an Empty Arena/Falls Count Anywhere Match
- Jerry Bostic was stripped of the title on October 25, 2020 for not defending it since winning it. Thrash won the “Graveyard Smash” Gauntlet Battle Royal for the vacant title.
- Garcia def. Gallows for the title in a Fatal 4-Way Match that also involved Warren Powers and Revan
- Savage won the title in a tag match with Johnny Kove against Rockwell & ASP 5-Star Champion Mr. Nasty where both title were on the line.
- Nasty def. Mike for the title in a match where Nasty’s ASP 5-Star Title was also on the line.
- Mr. Nasty vacated the title sometime on November 6, 2022 after being told to defend it AND the 5-Star Title or vacate one. Fox def. Drake Gallows in the finals of a gauntlet match for the vacant title
- Leo Fox was stripped of the ASP Mid-American Title after being unable to attend a mandatory title defence. Kove def. Montego Seeka for the vacant title
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