The 2023 Blood & Guts was the third annual Blood & Guts professional wrestling television special produced by All Elite Wrestling (AEW). It was held on July 19, 2023, at the TD Garden in Boston, Massachusetts. The event aired as a special episode of AEW's primary weekly television program, Wednesday Night Dynamite, which aired live on TBS. The July 21 episode of Friday Night Rampage on TNT, which was a special episode titled Royal Rampage and the second annual Royal Rampage, was also taped the same night immediately after the live broadcast of Blood & Guts.
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Four matches were held for the live broadcast of Blood & Guts, with an additional three matches taped for Royal Rampage. Per the theme of the show, the main event was the Blood and Guts match, in which The Golden Elite (Kenny Omega, "Hangman" Adam Page, Matt Jackson, Nick Jackson, and Kota Ibushi) defeated Blackpool Combat Club (Jon Moxley, Claudio Castagnoli, and Wheeler Yuta), Konosuke Takeshita, and Pac. In another prominent match, Adam Cole and MJF defeated The Jericho Appreciation Society (Daniel Garcia and Sammy Guevara) in the finals of the Blind Eliminator Tag Team Tournament and in the opening contest, Jack Perry defeated Hook to win the FTW Championship.