Due to Rutbah's strategic location, the town has played a role in later conflicts between the United States and Iraq. During the Persian Gulf War of 1991 it was reportedly a Scud launching location. In 2003, the 40-bed hospital in Ar Rutbah was destroyed by Coalition bombing. After the 2003 Invasion of Iraq, the base was occupied by the Army's 3rd Armored Cavalry Regiment and was known as FOB Buzz. An Army Captain was charged and court-martialed for staging mock executions of Iraqi prisoners.
In January 2005 a Marine CH-53E Super Stallion helicopter crashed outside of town, killing 30 United States Marines and one Navy corpsman.
Camp Korean Village, a Marine logistical support base, is located nearby. The base is located on the site of a village formerly used to house Korean construction workers working on the Amman - Baghdad highway (This fact has not been proven. The base was named Korean Village by Americans; however, not even the top Generals in Iraq know the origins of the name). The base currently serves as a regional air field, convoy rest stop, shock trauma hospital and headquarters of the local Marine garrison.
As of March 2006, U.S. and Iraqi forces had built a -high and -wide berm in order to restrict access into the city from all but 3 guarded vehicle checkpoints . This was done to restrict weapons and explosives smuggling into the city and force insurgent elements to hide weapons caches in the open desert, as well as reduce the number of roadside bombs inside the populated areas. As of September 2006, the city was being guarded by elements of the 2nd Light Armored Reconnaissance Battalion (LAR) and an Iraqi rifle company from the 3d Brigade, 7th Infantry Division, Iraqi Army.
In July 2006, increased violence and lawlessness in Baghdad, forced the transfer of the 4-14 Cavalry Squadron, U.S. Army, from the cities of Rawah and Anah in the northern Anbar province to Baghdad in order to augment security there. The gap in forces was replaced, initially, with personnel and resources from 3d LAR in Ar Rutbah. In September 2006, transfer of authority for both garrisons at Rutbah and Rawah was effected from 3d to 2d LAR.
In early 2007, the Rutbah government progressed in the transition to providing its own security. The town's efforts included recruiting approximately 200 men to send to an Iraqi Police training academy to increase counterinsurgency practices.