• All Japan Pro Wrestling
  • All Asia Tag Team Championship (1 time) – with Katsuhiko Nakajima[3]
  • Triple Crown Heavyweight Championship (1 time)[4]
  • Champion Carnival (2005)
  • January 2 Korakuen Hall Heavyweight Battle Royal (2007)[5]
  • SAMURAI! TV Cup Triple Arrow Tournament (2007) – with Katsuhiko Nakajima and Seiya Sanada[6]
  • BAPE STA!! PRO-WRESTLING a-k-a Tournament (2004)[7]
• Dramatic Dream Team
  • KO-D 6-Man Tag Team Championship (1 time) – with Danshoku Dino and Makoto Oishi[8]
• Fighting World of Japan Pro Wrestling
  • World Magma the Greatest Championship (1 time)[9]
  • WJ Strongest Tournament (2003)[6]
• Hawai'i Championship Wrestling
  • HCW Kamehameha Heritage World Heavyweight Championship (1 time)[10]
  • HCW Kekaulike Heritage Tag Team Championship (2 times) – with Kenjiro Katahira[11]
• Michinoku Pro Wrestling
  • Tohoku Tag Team Championship (1 time) – with Katsuhiko Nakajima[12]
• New Japan Pro Wrestling
  • IWGP Heavyweight Championship (5 times)
  • IWGP Tag Team Championship (7 times) – with Hiroshi Hase (2), Hawk Warrior (2), Riki Choshu (1), Kazuo Yamazaki (1) and Shiro Koshinaka (1)[13]
  • G1 Climax (1997,[14] 2000)
  • G1 Climax Special Tag Team Tournament (1997) – with Kazuo Yamazaki[6]
  • Japan/United States All Star Tournament (1996)[6]
  • MVP Award (2000)[15]
  • Singles Best Bout (2000)[15] vs. Toshiaki Kawada on October 9
  • SKY PerfecTV! Cup (2001)[16]
• Pro Wrestling Illustrated
  • PWI ranked him #10 of the best 500 singles wrestlers in the PWI 500 in 2000[17]
  • PWI ranked him #27 of the 100 best tag teams during the PWI Years with Hiroshi Hase in 2003[18]
  • PWI ranked him #103 of the top 500 singles wrestlers of the "PWI Years" in 2003[19]
• Pro Wrestling Noah
  • GHC Heavyweight Championship (1 time)[20]
  • GHC Tag Team Championship (1 time) – Takeshi Morishima[21]
  • One Night Six Man Tag Tournament (2012) – with Kento Miyahara and Takeshi Morishima
  • Global Tag League Outstanding Performance Award (2013) – with Katsuhiko Nakajima[22]
• Stampede Wrestling
  • Stampede Wrestling International Tag Team Championship (1 time) – with Sumo Hara[23]
• Tokyo Sports
  • Lifetime Achievement Award (2014)[24]
  • Match of the Year (2000)[25] vs. Toshiaki Kawada on October 9
  • Match of the Year (2005)[25] vs. Kenta Kobashi on July 18
  • Outstanding Performance Prize (2008)[25]
  • Wrestler of the Year (2004)[25]
• Toryumon Mexico
  • UWA World Tag Team Championship (1 time) – with Animal Warrior[26]
  • Suzuki Cup (2007) – with Marco Corleone and Ultimo Dragon[6][27]
• World Championship Wrestling
  • WCW United States Heavyweight Championship (1 time)1[28]
• World Wrestling Council
  • WWC Caribbean Tag Team Championship (2 times) – with Mr. Pogo[29]
• Wrestling Observer Newsletter
  • Match of the Year (1991) with Hiroshi Hase vs. Rick Steiner and Scott Steiner at the WCW/New Japan Supershow
  • Wrestling Observer Newsletter Hall of Fame (Class of 2013)[30]

1 Sasaki won the championship in Tokyo, Japan as part of an interpromotional card between New Japan Pro Wrestling and World Championship Wrestling.