Mickie emerged onto the wrestling scene as a stalker, and eventual rival of Trish Stratus. James had many memorable matches with Stratus, eventually capturing the Women's Title from her. Mickie continued on to bigger rivalries, and a bigger waistline, as her weight ballooned to 460 pounds. These included a long rivalry with Michelle McCool and Layla, who both mocked the champion for being 'small'.
After her contract expired, James joined TNA Wrestling, and began new rivalries with women like Angelina Love and Tara. James current weight is 470 pounds.