American Championship Entertainment
ACE Tag Team Championship (1 time) – with Mo Sexton
Big Time Wrestling
BTW Heavyweight Championship (1 time)
Champion Wrestling Association (Puerto Rico)
CWA World Championship (1 time)
Family Wrestling Entertainment
FWE Heavyweight Championship (1 time)
FWE Tri-Borough Championship (1 time)
FWE Rumble (2012)
International High Powered Wrestling
IHPW Diamond Division Championship (1 time)
IHPW United States Heavyweight Championship (1 time)
Jersey All Pro Wrestling
JAPW Heavyweight Championship (2 times)
JAPW Light Heavyweight Championship (1 time)
JAPW Tag Team Championship (1 time) – with Azrieal
JAPW Television Championship (1 time)
Jersey City Rumble (2009)
Jersey Championship Wrestling
JCW Light Heavyweight Championship (1 time)
JCW Television Championship (1 time)
Jersey J-Cup (2003)
Millennium Wrestling Federation
MWF Television Championship (1 time)
National Wrestling Superstars
WSU/NWS King and Queen of the Ring (2009) – with Miss April
Politically Incorrect Wrestling
PIW World Championship (1 time)
	Prairie Wrestling Alliance
PWA Championship (1 time)
Pro-Wrestling ELITE
PWE Interstate Championship (1 time)
Pro Wrestling Illustrated
Ranked him No.
5 of the top 500 singles wrestlers in the PWI 500 in 2016
Ring of Honor
ROH Pure Championship (1 time)
ROH World Championship  (2 times)
ROH World Tag Team Championship  (1 time, current) - with Jonathan Gresham
ROH World Television Championship (2 times)¹
Honor Rumble (2011)
Survival of the Fittest (2012)
Third Triple Crown Champion
Third Grand Slam Champion
ROH Feud of the Year (2017) vs Silas Young
ROH Wrestler of the Decade (2010s)
Southside Wrestling Entertainment
SWE Speed King Championship (1 time)
Speed King (2013)
Stars & Stripes Championship Wrestling
Tradition Cup Championship (1 time)
Total Nonstop Action Wrestling
TNA World Tag Team Championship (1 time) – with Consequences Creed
TNA X Division Championship (6 times)
Feast or Fired (2008 – World Tag Team Championship contract)
World X Cup (2006) – with Chris Sabin, Sonjay Dutt and Alex Shelley
X Division Wrestler of the Year (2007)
United Wrestling Coalition
UWC United States Championship (1 time)
Unreal Championship Wrestling
UCW United States Heavyweight Championship (1 time)
UCW World Heavyweight Championship (1 time)
Wrestlezone Scotland
Wrestlezone Tag Team Championship (1 time) – with Scotty Swift
Wrestling Observer Newsletter
Worst Worked Match of the Year (2006) TNA Reverse Battle Royal on Impact!

¹ Lethal modified the championship's faceplate during his second reign to simply read as "ROH Champion".
American Championship Entertainment
ACE Tag Team Championship (1 time) – with Mo Sexton
Big Time Wrestling
BTW Heavyweight Championship (1 time)
Champion Wrestling Association (Puerto Rico)
CWA World Championship (1 time)
Family Wrestling Entertainment
FWE Heavyweight Championship (1 time)
FWE Tri-Borough Championship (1 time)
FWE Rumble (2012)
International High Powered Wrestling
IHPW Diamond Division Championship (1 time)
IHPW United States Heavyweight Championship (1 time)
Jersey All Pro Wrestling
JAPW Heavyweight Championship (2 times)
JAPW Light Heavyweight Championship (1 time)
JAPW Tag Team Championship (1 time) – with Azrieal
JAPW Television Championship (1 time)
Jersey City Rumble (2009)
Jersey Championship Wrestling
JCW Light Heavyweight Championship (1 time)
JCW Television Championship (1 time)
Jersey J-Cup (2003)
Millennium Wrestling Federation
MWF Television Championship (1 time)
National Wrestling Superstars
WSU/NWS King and Queen of the Ring (2009) – with Miss April
Politically Incorrect Wrestling
PIW World Championship (1 time)
	Prairie Wrestling Alliance
PWA Championship (1 time)
Pro-Wrestling ELITE
PWE Interstate Championship (1 time)
Pro Wrestling Illustrated
Ranked him No. 5 of the top 500 singles wrestlers in the PWI 500 in 2016
Ring of Honor
ROH Pure Championship (1 time)
ROH World Championship  (2 times)
ROH World Tag Team Championship  (1 time, current) - with Jonathan Gresham
ROH World Television Championship (2 times)¹
Honor Rumble (2011)
Survival of the Fittest (2012)
Third Triple Crown Champion
Third Grand Slam Champion
ROH Feud of the Year (2017) vs Silas Young
ROH Wrestler of the Decade (2010s)
Southside Wrestling Entertainment
SWE Speed King Championship (1 time)
Speed King (2013)
Stars & Stripes Championship Wrestling
Tradition Cup Championship (1 time)
Total Nonstop Action Wrestling
TNA World Tag Team Championship (1 time) – with Consequences Creed
TNA X Division Championship (6 times)
Feast or Fired (2008 – World Tag Team Championship contract)
World X Cup (2006) – with Chris Sabin, Sonjay Dutt and Alex Shelley
X Division Wrestler of the Year (2007)
United Wrestling Coalition
UWC United States Championship (1 time)
Unreal Championship Wrestling
UCW United States Heavyweight Championship (1 time)
UCW World Heavyweight Championship (1 time)
Wrestlezone Scotland
Wrestlezone Tag Team Championship (1 time) – with Scotty Swift
Wrestling Observer Newsletter
Worst Worked Match of the Year (2006) TNA Reverse Battle Royal on Impact!
¹ Lethal modified the championship's faceplate during his second reign to simply read as "ROH Champion".
Jay Lethal