Before the event aired live on pay-per-view,
Hunico defeated
Alex Riley in a
dark match.
Preliminary matches The first match to air on pay-per-view was the Elimination Chamber match between reigning champion CM Punk, Dolph Ziggler, Chris Jericho, Kofi Kingston, R-Truth, and The Miz for the WWE Championship. Punk started off the match with Kingston. Punk sent Kingston into a pod and performed a Suplex on Kingston onto the chamber floor. Ziggler entered at #3, targeting Punk. R-Truth entered at #4, being eliminated by Punk after a diving elbow drop. Next was Miz followed by Jericho, who won the right to enter last after winning a Six-Pack Challenge on
Raw. Jericho eliminated Ziggler after a
Codebreaker and eliminated Kingston after forcing Kingston to submit to the
Liontamer. Jericho was then knocked out after a
roundhouse kick by Punk, leading to him falling out of the chamber (which had been opened to let Kingston out after he was eliminated) and accidentally landing on a camera man, knocking him out in the process and causing Jericho to be deemed unable to continue by the ringside trainers. Punk and Miz were the final two, after Punk kicked out of the Skull Crushing Finale, Punk performed a
G.T.S. on Miz to score the final fall and retain his championship. Next was the
Divas Championship match between reigning champion
Beth Phoenix and
Tamina Snuka. After a back-and forth-contest, Snuka would performed a
Samoan drop to set up the
Superfly Splash. Phoenix countered by
superplexing Snuka from the top rope. Snuka then scored a
superkick-Superfly Splash combination to Phoenix, leading to a close near-fall. Phoenix performed a
Glam Slam on Snuka to score the pinfall and retain her title. and
World Heavyweight Champion in Elimination Chamber matches. Next was the Elimination Chamber match between reigning champion Daniel Bryan, Big Show, The Great Khali, Cody Rhodes, Wade Barrett, and Santino Marella for the World Heavyweight Championship. Barrett and Big Show were the first two in the ring, attacking one another. Rhodes entered at #3, who worked with Barrett for much of the match, attempting to slow down Big Show. Marella entered at #4, who immediately got attacked by Big Show. Khali entered at #5 and managed to dominate for a while but soon got
speared by Show straight away and pinned. Show climbed Bryan's pod, ripping off the chains and attacking him. When Bryan got out, Rhodes and Barrett immediately attacked Show. After a
DDT by Rhodes and a
driving elbow drop from Barrett, Rhodes pinned and eliminated Big Show. Rhodes was eliminated by Marella after a
roll-up, which led to Rhodes assaulting Marella with a Cross Rhodes. Barrett was eliminated by Marella, following a
diving headbutt by Bryan. The final two were Bryan and Marella, who scored a close near-fall after performing
The Cobra. Marella was shocked that Bryan had kicked out and while he was in shock, Bryan forced Marella to submit to the
LeBell Lock, retaining his championship. After the match,
Sheamus ran in and attacked Bryan in retaliation for Bryan spitting on him on the previous episode of
SmackDown. This indicated that Sheamus had selected to challenge Bryan for the World Heavyweight Championship at
WrestleMania XXVIII, which Sheamus won the right to do after his victory in the Royal Rumble match. Next was an impromptu
United States Championship match between
Justin Gabriel (with
Hornswoggle) and champion
Jack Swagger (with
Vickie Guerrero). Gabriel gave Swagger an intense challenge but Swagger eventually applied the
Ankle lock and made Gabriel submit to retain the championship.
Main event The main event was the Ambulance match between John Cena and Kane. They fought out of the ring for most of the match where Cena attacked Kane repeatedly with the steel ring steps. As he attempted to give Kane an
Attitude Adjustment off the ring steps through the announce table, Kane countered and
chokeslammed Cena through the table instead. With Cena down, Kane placed him onto a gurney and loaded him into the ambulance. Before Kane could shut the door, though, Cena fought his way out of the ambulance and took the fight to the top of the vehicle, where he finally finished off Kane with an
Attitude Adjustment off the ambulance onto the equipment area. Cena then loaded Kane into the ambulance to score the victory. ==Reception==