They opened with Randy Orton returning and cutting a promo about wanting to win the Royal Rumble. This led to Sheamus coming out and pointing out he won last year and will again. Big Show and Antonio Cesaro got involved to set up a tag match main event.
The Miz defeated Heath Slater (w/Drew McIntyre, Jinder Mahal). The other 3MB members were kicked out by the referee later in the match.
The Great Khali, Hornswoggle, and Natalya defeated Primo, Epico, and Rosa Mendes.
Wade Barrett defeated Kofi Kingston to retain the Intercontinental Title.
Tamina Snuka defeated Layla.
Sheamus and Randy Orton defeated The Big Show and Antonio Cesaro. This was changed from a single matches between The Big Show and Alberto Del Rio. No word on why Del Rio wasn't there but something it definitely up. Orton & Sheamus had a staredown to close the show.
Sheamus fought The Big Show to an no-apparent contest for the World Heavyweight Championship.