diff --git a/lib/tools.js b/lib/tools.js
index 296e13558..eff5f17f0 100644
--- a/lib/tools.js
+++ b/lib/tools.js
@@ -363,9 +363,6 @@ function createArgsNormalizer (defaultOptions) {
     }
     opts = Object.assign({}, defaultOptions, opts)
     opts.serializers = Object.assign({}, defaultOptions.serializers, opts.serializers)
-    if ('extreme' in opts) {
-      throw Error('The extreme option has been removed, use pino.destination({ sync: false }) instead')
-    }
     if ('onTerminated' in opts) {
       throw Error('The onTerminated option has been removed, use pino.final instead')
     }
diff --git a/pino.js b/pino.js
index 1e46add68..1b77014d7 100644
--- a/pino.js
+++ b/pino.js
@@ -172,14 +172,6 @@ function pino (...args) {
 
 module.exports = pino
 
-module.exports.extreme = (dest = process.stdout.fd) => {
-  process.emitWarning(
-    'The pino.extreme() option is deprecated and will be removed in v7. Use pino.destination({ sync: false }) instead.',
-    { code: 'extreme_deprecation' }
-  )
-  return buildSafeSonicBoom({ dest, minLength: 4096, sync: false })
-}
-
 module.exports.destination = (dest = process.stdout.fd) => {
   if (typeof dest === 'object') {
     dest.dest = dest.dest || process.stdout.fd
diff --git a/test/syncfalse.test.js b/test/syncfalse.test.js
index 8171c9b93..cf169882e 100644
--- a/test/syncfalse.test.js
+++ b/test/syncfalse.test.js
@@ -112,31 +112,7 @@ test('sync false with child', async ({ equal, teardown }) => {
   })
 })
 
-test('throw an error if extreme is passed', async ({ throws }) => {
-  const pino = require('..')
-  throws(() => {
-    pino({ extreme: true })
-  })
-})
-
 test('flush does nothing with sync true (default)', async () => {
   const instance = require('..')()
   instance.flush()
 })
-
-test('pino.extreme() emits a warning', async ({ equal }) => {
-  const pino = require('..')
-  process.removeAllListeners('warning')
-  process.nextTick(() => pino.extreme(0))
-  const warning = await once(process, 'warning')
-  const expected = 'The pino.extreme() option is deprecated and will be removed in v7. Use pino.destination({ sync: false }) instead.'
-  equal(expected, warning.message)
-  equal('extreme_deprecation', warning.code)
-})
-
-test('pino.extreme() defaults to stdout', async ({ equal }) => {
-  const pino = require('..')
-  process.removeAllListeners('warning')
-  const dest = pino.extreme()
-  equal(dest.fd, process.stdout.fd)
-})