On July 22, 2019, during the "Raw Reunion" episode, Patterson won the WWE 24/7 Championship by pinning Drake Maverick backstage. He would lose the title to Gerald Brisco off-screen later that same night. At 78 years old, he became the oldest person ever to win a title in WWE history, beating The Fabulous Moolah's fourth reign with the original WWF Women's Championship at 76 years old. It was also Patterson's first title reign since June 19, 2000, with the similarly introduced WWF Hardcore Championship, which also used the "24/7 rule". He was only the second person ever to win both the 24/7 and Hardcore Championships. He was working backstage as a WWE official from 2005 until his death in 2020.