NXT Championship
Ciampa relinquished his NXT Championship due to injury on the March 20, 2019 edition of NXT, ending his reign at 237 days. On April 1, he revealed that doctors had told him that he will be wrestling on "borrowed time" if he is even able to return to the ring at all. He made a surprise appearance at on April 5 after Gargano defeated Adam Cole to win the NXT Championship, embracing Gargano to celebrate his victory and turning face in the process.