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The fearless and wizened leader of the Bloodhoof Tauren, Cairne lived near the shores of the Great Sea on the Barrens. However, between the centaurs' savage attacks on his people and their hunting of local game to near extinction, Cairne planned to relocate his tribe to the verdant lands of Mulgore. But, with the centaurs' attacks growing more and more frequent, Cairne knew that on the open plains, they would not be able to defeat them, and he quickly began to lose hope.

However, he soon met Thrall, the young warchief of the new Horde, and, watching him battle and destroy a group of centaurs who had been attacking a Tauren, he became intruiged with their nobility and savagery. When Thrall told him that they came to look for their destiny, Cairne directed him to the north, where there was an Oracle.

Thrall reported seeing an army of centaurs going north, and Cairne quickly left to defend his village. Thrall brought his followers with him, and followed Cairne to defend the village. After defending against wave after wave of centaur warriors, Cairne told Thrall of his plight, and Thrall vowed to protect the caravan of Tauren as they crossed the barrens to Mulgore, in exchange for the location of the Oracle.

Cairne and Thrall managed to evade and defeat any centaur marauders, and finally made it to Mulgore. Cairne told Thrall that the Oracle was within Stonetalon Peak, and bid him good luck.

Upon arriving at Stonetalon, Thrall was surprised to find that Cairne had sought him out, and pledged to repay the debt they owed Thrall and the Horde. Cairne enlisted the wyverns to help them, and helped to free them from the harpies. He then helped to claim the peak from the humans so that they could enter freely. However, Jaina entered first.

Cairne and Thrall split up upon entering the bowels of Stonetalon, and Cairne found an enchanted spirit stone that would activate an ethereal bridge towards the Oracle. When they found the Oracle, Cairne and Thrall found Jaina already there. All three spoke to the Oracle, who told them that they must all ally if they wished to defeat the Burning Legion. The three hesitantly agreed.

Cairne's wisdom and strength, and the power of his tauren warriors, helped Thrall to reclaim Grom Hellscream. In a combined effort, the sorcery of all three races were needed to purge the demonic influence from Hellscream.

United in arms, Cairne pledged the loyalty of his race to the Horde, and together, they managed to defeat the Burning Legion once again.

Cairne helped the orcs establish their new nation of Durotar before bidding them farewell and leaving to take his own people to a new land in Mulgore. There, they established a strong defense against the centaurs and harpies who harassed them. Several months later, however, Cairne's son, Baine, was accosted by centaurs and captured. Since the centaurs were not known for their hospitality, Cairne feared the worst, and slipped into a lethargic depression.

With Cairne out of comission, his followers scrambled to lead their people adequately, but they were no substitute for Cairne's wisdom. His second, Tagar, tried to help Cairne, but he would not hear of it. Tagar feared that without the leadership of Cairne, the tauren would not last long.

When Rexxar and Rokhan arrived to ask Cairne for the tauren's assistance in the coming battle, Cairne told them to leave him and tell Thrall that he had died. Tagar told the heroes of Baine, and they quickly left to investigate his disappearance. With the help of Bovan Windtotem, they recovered Baine and returned him to his happy father.

Cairne, overjoyed, told Rexxar that not only would he pledge the service of his people to Thrall once more, he would be returning himself. He joined with Rexxar's band of warriors and returned to Dustwallow, and then helped to repel Proudmoore's forces. Victorious, they then took the fight to the humans and ended Proudmoore's reign of hatred.

Cairne returned to his people and his son in Mulgore.