The aptly named Samoan Submission Machine triumphed in an exhilarating Fatal-5 Way contest with his deadly Coquina Clutch.
The win means the veteran will now face the Beast Incarnate for the first time at Raw’s next pay-per-view, Great Balls of Fire in July.
The first half of the main event saw Joe team up with Bray Wyatt to punish Roman Reigns, Seth Rollins and the Irishman Balor.
They used steel steps, steel chairs and running sentons to destroy their opponents in the Royal Farms Arena in Baltimore, Maryland.
But the alliance could not last and Balor took control with tremendous running dropkicks to his foes at ringside as the pace heightened.
Reigns speared Balor and Joe through a barricade before a stunning frog splash by Rollins drove Wyatt through an announce table.
A thrilling finale saw Reigns and Rollins slug it out, only for the two former members of The Shield to be ambushed by the wily Bray.
Roman speared him out of his boots, grounded Seth and looked to finish Balor, but fell victim to his Coup de Grace double footstomp.
However, the former Universal Champion was thwarted in a pin attempt as Joe locked in his debilitating submission and emerged victorious.
It was the third cracking match in a row after we saw new Raw Tag Team Champions crowned and a classic scrap over the Cruiserweight title.
Sheamus and Cesaro halted the comeback run of the Hardy Boyz by narrowly besting Matt and Jeff in a very intense steel cage match.
The rules stated both men on a team had to escape the cage to secure victory, meaning by the end Jeff had to return to retrieve his older brother.
The challengers prevented Matt leaving by first hitting a double crucifix powerbomb and then a formidable top rope version of White Noise.
Jeff turned back the clock and scaled the cage to take out Sheamus and Cesaro with a diving Whisper in the Wind in a great spot.
Yet the European duo managed to scramble out and drop down to the outside a second before Matt was able to drag Jeff out via the door.
The match of the night saw Newcastle’s Neville cling onto his Cruiserweight Championship in a great submission match against Austin Aries.
Neville repeatedly targeted Aries’ injured left knee and then his bandaged left shoulder, in anticipation of locking in his Rings of Saturn hold.
Aries had other ideas and almost beat the champion with his own move, then made him tap at ringside to his Last Chancery bridging arm triangle choke.
Sadly for him the submission had to be applied in the ring and after missing with a suicide dive, Neville took advantage in devastating fashion.
He landed a stunning Red Arrow on the challenger’s back then immediately applied Rings of Saturn for a truly breathtaking finish to a first rate contest.
(Photo: © WWE)
The other big news of the night was The Miz regaining the Intercontinental Championship from Dean Ambrose to become a seven-time IC Champion.
As per the stipulation of the match, Ambrose would lose the title if he was disqualified, and Miz spent much of the early going trying to provoke him into a rage.
The Lunatic Fringe just about showed restraint when clutching a steel chair and when gifted the opportunity to drive his rival’s head into an exposed turnbuckle.
He begged with the referee not to award the match to his opponent when The Miz’s conniving wife Maryse slapped her husband in the face.
Yet as the referee sent her to the back, Miz shoved Dean into the blindsided official, prompting more pleas from the champion not to lose his belt this way.
As Dean remonstrated with the referee the opportunistic Miz hit him with Skull Crushing Finale and relaunched his Intercontinental Title Tour.
The night began with a fun clash between Kalisto and Apollo Crews on the Kickoff pre-show, in which they both showcased their staggering agility.
Sadly for Crews his new mentor Titus O’Neill inadvertently cost him a chance at victory and allowed the Mexican to succeed with Salida Del Sol.
Rich Swann and Sasha Banks showed great chemistry as Swann did the unthinkable in WWE – won a match in front of his hometown crowd.
He dispatched Noam Dar and his girlfriend Alicia Fox by hitting a stunning Phoenix Splash on the Scotsman after Banks hit him with a flying knee attack.
The only disappointment of the night was a short, underwhelming Kendo Stick-on-a-Pole match between Raw Women’s Champion Alexa Bliss and Bayley.
All night pundits talked of Bayley not having what it takes to be ‘extreme’ and so it proved as she dillied and dallied when presented with the kendo stick.
She had spoken of drawing inspiration from Steve Blackman, Tommy Dreamer and The Sandman, but looked weak as she allowed Bliss to grab the weapon and beat her down.
1. Kalisto defeated Apollo Crews in a singles match
2.The Miz (with Maryse) defeated Dean Ambrose (c) to win the WWE Intercontinental Championship
3.Rich Swann and Sasha Banks defeated Noam Dar and Alicia Fox in a mixed tag team match
4. Alexa Bliss (c) defeated Bayley in a Kendo Stick-on-a-Pole match to retain the WWE Raw Women’s Championship
5. Cesaro and Sheamus defeated The Hardy Boyz (Jeff and Matt Hardy) (c) in a steel cage tag team match to win the WWE Raw Tag Team Championship
6. Neville (c) defeated Austin Aries in a submission match to retain the WWE Cruiserweight Championship
7. Samoa Joe defeated Roman Reigns, Seth Rollins, Finn Bálor and Bray Wyatt in a Fatal 5-Way match to determine the #1 contender for the WWE Universal Championship
Relive all of the action as it happened in the Mirror Sport WWE Extreme Rules 2017 Live Blog .
You can watch WWE Extreme Rules 2017 on the WWE Network or Sky Sports Box Office.