Preliminary matches
The first match that aired was the tag team encounter between MNM (Joey Mercury and Johnny Nitro) and The Hardys (Jeff Hardy and Matt Hardy). After a back and forth match, which lasted over 20 minutes, MNM performed a flapjack DDT on Jeff. During a pinfall attempt, Matt Hardy made the save and performed a double neckbreaker on both members of MNM. Jeff then Swanton bombed Nitro and made the winning pin.[6][28][29]
Next was Matt Striker versus Balls Mahoney in a "Striker's Rules" match, a match with "no gouging of the eyes, no pulling of the hair, no maneuvers off the top rope and, most importantly, no foul language".[6][30] Mahoney won the match after he performed a spinebuster and pinned Striker for the victory.[6][29]
After the match between Mahoney and Striker, Sabu was depicted as being injured backstage and unable to compete in the Extreme Elimination Chamber match.[6][31][32] In reality, however, it was rumored that Sabu had animosity surrounding him backstage and was said to be uninterested at television tapings. Rumors evolved stating that WWE viewed Sabu as being "useless" in normal matches and that he could only perform in matches that included "stunts and tables and they don't respect him because of that". This was reportedly part of the reason he had been scripted to be easily defeated by Umaga on an episode of Raw a few weeks earlier.[8][33] WWE chairman Vince McMahon wanted to put Hardcore Holly in Sabu's place, so Bobby Lashley would have more villains to overcome. Paul Heyman was legitimately unhappy with the decision, saying that Sabu's high-flying wrestling would be "the ideal showcase" inside the Extreme Elimination Chamber.[25] The fans inside the James Brown Arena chanted "bullshit" during the segment.[6]
In the second tag-team match of the night, Elijah Burke and Sylvester Terkay defeated F.B.I. members Little Guido Maritato and Tony Mamaluke. Burke pinned Mamaluke after performing a Forward Russian legsweep on him and gaining the pinfall.[34] After the match, Terkay performed a Muscle Buster on Maritato.[29] During this match, the fans inside the James Brown Arena chanted "TNA, TNA" (a reference to WWE's rival professional wrestling promotion, as well as two of their performers utilizing moves used by TNA wrestlers, Jeff Jarrett and Samoa Joe, respectively).[6]
A standard match between Daivari and Tommy Dreamer followed with The Great Khali accompanying Daivari to the ring but was ejected from ringside early on for interfering. After Daivari won the match using a roll-up, Khali came back out to the ring and gave Dreamer a chokebomb. EMTs came out to help Dreamer get up, but he ended up getting up on his own and headed backstage.[6][29][35]
The next match of the night was an intergender tag team match, with Kevin Thorn and Ariel against Mike Knox and Kelly Kelly. Before the match began, Kelly Kelly was shown wishing CM Punk, her on-screen crush, luck for the main event. The end of the match came when Knox abandoned Kelly Kelly in the ring and Ariel performed a legsweep, a variation of a takedown, on Kelly Kelly before covering her for the win.[29] Following the match, Ariel and Thorn attempted to attack Kelly Kelly, before The Sandman interrupted and hit Thorn repeatedly with a kendo stick.[6][36]
Main event match
The main event was the Extreme Elimination Chamber for the ECW World Championship. After a segment earlier in the event showed an injured Sabu was unable to compete in the match, it was decided that Hardcore Holly would take his spot in the match. Before the match began, Paul Heyman announced the rules of the match and explained that each superstar had a weapon with them in each of their pods.[29] Before entering the ring, Heyman had a conversation backstage with Big Show, that was unseen by television viewers, with him revealing that for the first time in his professional career he was not motivated to give the promo.[25] Rob Van Dam and Holly were the first superstars to begin the match and one of the other four competitors were then released from their pod every five minutes afterward. The first person to be released from his pod was CM Punk, who entered the match with a steel chair in hand. Test then followed, five minutes after him, with a crowbar. Punk was the first eliminated from the match, after Van Dam performed a Five Star Frog Splash from the top turnbuckle and covered him for the 3-count. Moments later, Test charged and delivered a big boot to Holly, eliminating him. Van Dam was the third person eliminated, after Test delivered a diving elbow drop from the top of a pod and pinned him. When it was Bobby Lashley's turn, his pod would not open and he could not exit it because Heyman's Security Force had bolted the door shut. Lashley then used the table that was with him to smash through the pod, allowing him to escape. He then delivered a spear to Test to eliminate him.