EMW World Heavyweight Championship

The EMW World Heavyweight Championship is the top title in the Extreme Madness Wrestling fantasy wrestling promotion. The first champion was determined in a tournament format. "The Day Walker" Blade defeated Tommy Vercetti in the finals of the tournament to become the first champion on June 30, 2007 at Barley Legal. The current champion is Austin Juhasz, who defeated "T-Dawg" Tyrone Daniels in a Champion vs. Champion, Title For Title 60 Minute Ironman Match on June 14, 2015 at Extreme Anniversary 2K15.

Being a professional wrestling championship, it is not won via direct competition; it is instead won via a predetermined ending to a match or awarded to a wrestler because of a wrestling angle. There have been 48 reigns by twenty-two wrestlers with three vacancies. The vacancies came when MVP was stripped due to the tragedy in Japan, Blade announce his retirement at MegaBrawl VI, and the controversy ending of the main event at Interactive Insanity.

List of individual reigns
As of July 30, 2016

List of combined reigns
As of July 30, 2016