The following is the champion history of the Pro-Pain Pro Heavyweight Championship.
Champion history
| # | Wrestler | Reign | Date | Days held | Event | Notes |
|---|---|---|---|---|---|---|
| 1 | Gary Wolfe | 1 | August 24, 2002 | 56 | 3PW Babes, Belts & Blood | Defeated Christian York in a tournament final to win title. |
| 2 | Sabu | 1 | October 19, 2002 | 70 | 3PW A Night For The Flyboy Rocco Rock | Won during a Tables Match |
| 3 | Gary Wolfe | 2 | December 28, 2002 | 175 | 3PW Year End Mayhem | |
| 4 | Terry Funk | 1 | June 21, 2003 | 56 | 3PW A New Era | Title changed hands in a three-way match also involving The Sandman |
| 5 | Justin Credible | 1 | August 18, 2003 | 98 | 3PW That's Incredible | |
| — | Vacated | — | November 22 2003 | <1 | N/A | Credible was stripped of the title for no-showing an event. |
| 6 | Raven | 1 | November 22, 2003 | 147 | 3PW Raven's Rules | Title won in a three-way match also involving Sabu and The Sandman |
| 7 | Joey Matthews | 1 | April 17, 2004 | 126 | 3PW The Future Is Now | |
| 8 | Christopher Daniels | 1 | August 21, 2004 | 182 | 3PW Five-Star Four-Way | Title won in an elimination four-way match also involving A.J. Styles and Chris Sabin |
| 9 | Slyk Wagner Brown | 1 | February 19, 2005 | 91 | 3PW 3rd Anniversary Show | |
| 10 | Amish Roadkill | 1 | May 21, 2005 | 28 | 3PW Mayhem | Title won in a three-way match also involving Simon Diamond |