It was a rematch of the 1958 championship game that went into overtime. The defending champion Baltimore Colts (9–3) again won the Western Conference, while the New York Giants (10–2) repeated as Eastern Conference champions. The Colts were favored to repeat as champions by 3½ points. This game also went down to the last quarter, but the Colts did not need any heroics in overtime. Trailing 9-7 at the start of the fourth quarter, Baltimore scored 24 straight points and won, 31–16. This was the only NFL championship game played in Baltimore.

This 1959 NFL World Championship ticket stub is in nice condition with the center logo fully visible. There is some light surface creasing and a pinhole between "World's" and "1959." There is also a small stain on the back, as seen in photos.