- Knight def. Skylar Slice, Killista, Nurse Sanity, and Violet Payne in a 5-Way Elimination Match to become the inaugural champion.
- Slice def. Knight for the title in a Parking Lot Brawl
- Knight def. Slice for the title in a Dog-Collar Chain Match
- Killista def. Knight for the title in a Triple Threat Match that also involved Skylar Slice
- Erica def. Phoebe for the title in a No DQ Matcch
- On March 1, 2019, Nikki relenquished the title due to a knee injury. Erica def. Skylar Slice and Miss Venom in a Triple Threat Match for the vacant title
- On January 1, 2020, all MSWA titles were declared vacant.
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