I'm watching less global wrestling than ever; that's not a judgment of quality, just time/access. Every 4 1/2 up match I run across is here, but my list is no longer reflective of the full scope of wrestling across the world.
1. Omega v. Ospreay (AEW June) 5
2. Omega v. Ospreay (NJPW, Jan) 5
3. Ospreay d. Umino (NJPW, Nov) 5
4. MJF d. Danielson (AEW Mar) 5
5. Ospreay v. Naito (NJPW, Aug) 5
6. Ospreay v. Bailey (Impact, Oct) 5
7. Danielson d. Sabre (AEW, Oct) 5
8. Strickland v. Page (AEW, Nov) 5
9. Page d. Moxley (AEW, Mar) 5
10. Ospreay d. Sabre (NJPW, Oct) 4 3/4
11. Ospreay d. Tsuji (NJPW, Sep) 4 3/4
12. Okada v. Shingo (NJPW, Feb) 4 3/4
13. Okada v. Naito (NJPW, Aug) 4 3/4
14. Omega v. Takeshita (AEW, Sep) 4 3/4
15. Omega v. Vikingo (AEW, Mar) 4 3/4
16. FTR d. Bullet Club Gold (AEW, July) 4 3/4
17. FTR/Briscoe d. BCC (ROH, Dec) 4 3/4
18. MJF d. Omega (AEW, Oct) 4 3/4
19. Zayn/Steen d. Usos (WWE, Apr) 4 3/4
20. House of Black d. Elite (AEW, Mar) 4 3/4
21. Bullet Club Gold d. FTR (AEW, Jul) 4 1/2
22. The Elite d. Death Triangle (AEW, Jan) 4 1/2
23. FTR d. Young Bucks (AEW, Aug) 4 1/2
24. Dragunov d. Hayes (NXT, Sep) 4 1/2
25. Vikingo d. Komander (ROH, Apr) 4 1/2
26. Vikingo d. Black Taurus (ROH, Dec) 4 1 /2
27. Ospreay d. Alexander (TNA, Oct) 4 1/2
28. Ospreay v. Phantasmo (NJPW, Aug) 4 1/2
29. Danielson v. Okada (AEW, June) 4 1/2
30. Sabre v. Okada (NJPW, Aug) 4 1/2
31. Gunther d. Sheamus/McIntyre (WWE, Apr) 4 1/2
32. Survival of the Fittest (ROH, Dec) 4 1/2
33. The Elite/Kingston/Ishii v. BCC/Takeshita/Umino (AEW, June) 4 1/2
34. Anarchy in the Arena (AEW, May) 4 1/2
35. Blood and Guts (AEW, July) 4 1/2
36. Sanada v. Hiromu (NJPW, May) 4 1/2
37. Claudio d. Kingston (ROH, Apr) 4 1/2
38. Strickland d. Page (AEW, Oct) 4 1/2
39. Hiromu v. Yoh (NJPW, Feb) 4 1/2
40. Ospreay v. Finlay (NJPW, Aug) 4 1/2
41. Aussie Open d. Goto/Yoshi Hashi (Apr, NJPW) 4 1/2
42. Wes Lee d Dragon Lee/Dragunov/McDonagh/Axiom (NXT, Apr) 4 1/2
43. Reach for the Sky Ladder Match (ROH, Apr) 4 1/2
44. Danielson d. Starks (AEW, Sep) 4 1/2
45. Danielson d. Rush (AEW, Feb) 4 1/2
46. Moxley d. Page (AEW, Feb) 4 1/2