- When you are on the 3rd floor of the school and you fight the "Dragon Twins", the background music is the same music from the NES game Double Dragon.
- The gang duo Benny & Clyde is an obvious take on the famous criminal duo "Bonny & Clyde" from the 1930s
In the original Japanese version (Downtown Nekketsu Monogatari
) the characters wore schoolboy jackets and belonged to high schools instead of gangs. This was changed in the American version because the jackets could be mistaken for bathrobes and beating up evil gang members seemed like a more worthy cause.
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- 2004 – Best Use of Barf of the Year (GBA)