During the mid first era, the city of Verkarth was ruled by King Styriche. He was known to be a vampire with an army of Werewolves and other vampires known as the Gray Host. Styriche's forces were defeated by Empress Hestra, her Alessian Legion, and Saint Pelin in 1E 1029, this resulted in him and his army fleeing westward into High Rock. They were eventually halted and routed to the Bangkorai Garrison in Bangkorai.
During the Alliance War, Molag Bal's worshippers built large structures known as Dark Anchors, where Worm Cultists call to Molag Bal and summon his minions to fight the mortals on Nirn. Molag Bal is able to summon notable minions including King Styriche.
During Tiber Septim's reign, Verkarth City was still an established city.