The main event was the 1991 Royal Rumble match won by Hulk Hogan, who last eliminated Earthquake to win the match. Featured matches on the undercard were The Ultimate Warrior versus Sgt. Slaughter for the WWF Championship, Ted DiBiase and Virgil versus Dusty Rhodes and Dustin Rhodes and The Mountie versus Koko B. Ware.
- Dark Match: Jerry Sags defeated Sam Houston
- The Rockers (Marty Jannetty and Shawn Michaels) defeated The Orient Express (Tanaka and Kato) (with Mr. Fuji)
- Big Boss Man defeated The Barbarian (with Bobby Heenan)
- Sgt. Slaughter (with General Adnan) defeated The Ultimate Warrior (c) to win the WWF Championship
- The Mountie (with Jimmy Hart) defeated Koko B. Ware
- Ted DiBiase and Virgil defeated Dusty Rhodes and Dustin Rhodes
- Hulk Hogan won the Royal Rumble Match by last eliminating Earthquake