Ku qor sii wadida cutubkan - Nakamura wuxuu ku tartamay kulankiisii ugu horreeyay tan iyo SummerSlam 11-kii Sebtember dhacdadii "SmackDown Live", isagoo ka badiyay Jeff Hardy iyada oo loo marayo ka-reebitaan kadib faragelinta Randy Orton. Ka dib markii uu diiday inuu difaaco Horyaalka WWE United States ee Hell in a Cell pay-per-view, maamulaha guud Paige wuxuu ku amray Nakamura inuu difaaco Horyaalka dhacdadii 18kii Sebtember ee "SmackDown Live", taas oo uu si guul leh u sameeyay, isagoo ka adkaaday Rusev. At SmackDown 1000, Nakamura ayaa laga badiyay Rey Mysterio oo soo laabtay ciyaar isreebreeb ah oo loogu talagalay Koobka Adduunka ee WWE ee Crown Jewel. Nakamura wuxuu si guul leh u ilaalin doonaa horyaalka dhacdadii Oktoobar 30 ee "SmackDown Live" ee ka dhanka ah R-Truth ka dibna ka dhanka ah Rusev ee Crown Jewel. Nakamura wuxuu ka badiyay Raw's WWE Intercontinental Champion Seth Rollins oo ah horyaal u tartamaya horyaal iyo horyaal. 25-kii Diseembar dhacdadii "SmackDown Live" (oo la duubay 18-kii Diseembar), Nakamura wuxuu lumiyay WWE United States Championship oo uu ka badiyay Rusev, isagoo xukunkiisa ku soo afjaray 156 maalmood. Janaayo 27, 2019, ee Royal Rumble
, Nakamura wuxuu ka adkaaday Rusev si uu ugu guuleysto horyaalkiisii labaad ee WWE United States Championship. Isla habeenkaas, wuxuu ka qeyb galay tartankii Royal Rumble isagoo galay kaalinta 3aad laakiin waxaa ka saaray Mustafa Ali.