It is the second world title established in LPW, having been introduced in 2004 as the Psychotic Wrestling Alliance (PWA) International Heavyweight Championship. After the PWA forked following a management disagreement, the promotion was renamed Lords of Pain Wrestling (LPW) to reflect the Lords of Pain.net home that had hosted the e-federation, with the title also renamed to reflect the acronym.
The first champion was Stone, who won the championship in 2004 during the inaugural Altered Reality. Overall, there have been 10 different champions.