ROH Honor Reigns Supreme 2019 was a professional wrestling pay-per-view event produced by Ring of Honor (ROH) that took place on January 13, 2019 at the Cabarrus Arena in Concord, North Carolina. The event was shown live on ROH's Honor Club online streaming service.
Honor Reigns Supreme 2019 features professional wrestling matches, which involve different wrestlers from pre-existing scripted feuds, plots, and storylines that play out on ROH's television programs. Wrestlers portray villains or heroes as they follow a series of events that build tension and culminate in a wrestling match or series of matches.
- Numbers in parentheses indicate the length of the match.
- (c) refers to the champion(s) heading into the match.
- The Kingdom (Matt Taven, TK O'Ryan and Vinny Marseglia) defeated Shane Hurricane Helms, Delirious and Luchasaurus (13:52)
- Jeff Cobb defeated Shane Taylor, Jonathan Gresham and Rhett Titus in a Four Corner Survival match (8:25)
- Kelly Klein (c) defeated Jenny Rose Street Fight to retain the ROH Women of Honor Championship (12:33)
- Villain Enterprises (Marty Scurll, Brody King and PCO) defeated Silas Young and The Briscoes (Jay Briscoe and Mark Briscoe) (17:08)