The title was introduced in 2004 as the Psychotic Wrestling Alliance (PWA) United States 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 championship has had several name changes during different times in LPW history. When The Rik won the championship, he renamed it the LPW Transatlantic Championship. During Ash Strife's reign, he changed the name to the LPW Canadian Heavyweight Championship, and then the title was changed back to its original name, the LPW United States Championship.
The first champion was The D in 2004. Overall, there have been 12 different champions.
def.The Rabbi and Pope Fred in a Triple Threat match at Insanity LIVE from Woodstock During the season 5 reign, Strife changed the name of title from the to the LPW Transatlantic Championship to the LPW Canadian Heavyweight Championship
def.The Rabbi and Pope Fred in a Triple Threat match at Insanity LIVE from Woodstock during its 5th season During the season 6 reign, Strife changed the name of title from the LPW Canadian Heavyweight Championship to the LPW United States Heavyweight Championship