In the fourth match, The Miz defended the Intercontinental Championship in a Fatal Four-Way match against Cesaro, Kevin Owens, and Sami Zayn.

In the climax, Zayn executed a Helluva Kick on Cesaro, but Owens pulled Zayn out of the ring to break the pin.

As Owens and Zayn brawled at ringside, Miz pinned Cesaro to retain the title.

On the May 16 episode of Raw, Ambrose challenged Jericho to a match at Extreme Rules, which Jericho accepted.

Ambrose then revealed that their match would be a Asylum match, a steel cage match with weapons hanging above the cage.

On the May 5 episode of Smack Down, Miz interrupted Zayn on The Highlight Reel and a match was booked later between the two, which Zayn won after Owens interfered.

Cesaro ran down to the ring and a fight between the four ensued, which ended with Cesaro holding the championship.On the next night on Raw, during a segment of The Ambrose Asylum with Stephanie Mc Mahon, Stephanie cancelled Ambrose Asylum and reinstated Jericho's talk show, The Highlight Reel.Jericho came out and attacked Ambrose, destroying Mitch the Potted Plant in the process.The professional wrestling matches at Extreme Rules featured professional wrestlers performing as characters in scripted events pre-determined by the hosting promotion, WWE.Storylines between the characters played out on WWE's primary television programs, Raw and Smack Down.The next night on Raw, another #1 contender match between Owens and Cesaro occurred, but the match ended with no contest after Miz, who was on commentary, attacked Cesaro.