Alexa Bliss's first singles loss since the July 24, 2020 Smackdown. Her first pay per view singles loss since Stomping Grounds.
Alexa Bliss wore Gray and scarlet wrestling gear to show support for The Ohio State University. Alexa is a native of Columbus, Ohio where The Ohio State University is located and where the pay per view took place.
This is the first time Finn Bàlor lost with his "Demon King" persona since 2016 in a match with Samoa Joe at NXT Takeover: The End in a Steel cage for the NXT Championship
This is the first PPV in the Extreme Rules chronology to not only not have all matches competed under any kind of "hardcore" stipulation, but to have only one match competed under such arrangements; the match between Roman Reigns and Finn Balor for the Universal Championship. The next closest was the Triple-Threat match for the United States Championship (which is no DQs or countouts by design), but nothing outrageous happened during that match.