The XPW World Tag Team Championship was introduced at Baptized in Blood III in 2002 by Xtreme Pro Wrestling and the championship was decided in a 4-Way Elimination Tag Team match that featured Mexico's Most Wanted (Halloween and Damien 666), The New Panthers (Malik Shabazz and Raphael Muhammed), the team of Pogo the Clown and Juantastico, and the team of American Wild Child and Shady.

Only two teams would end up holding the XPW World Tag Team Championship on two occasions. Youthanazia, the team of Josh Prohibition and M-Dogg 20, were the last champions, that is until an XPW reunion show, where it was won by Luke Hawx & Scorpio Sky.

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