The NXT North American Championship was created in March 2018 as an expansion title for NXT. Since the title is still young, only two men have held it, Adam Cole and the current champion Ricochet.
On March 7, NXT General Manager William Regal announced that a new championship would be contested in a Six-Man Ladder Match at NXT TakeOver: New Orleans, which was won by Adam Cole.
Ricochet defeated Adam Cole at NXT TakeOver: Brooklyn 4 to win the championship. He defended the title for the first time against United Kingdom Champion Pete Dunne on the September 19 edition of NXT in a Double Title Match that ended in a No Contest when the Undisputed Era interfered. He will next defend the title on the October 10 edition of NXT against Dunne and Adam Cole in a Triple Threat match.