There are no options, you are just thrown straight into the action. The game is viewed from the side showing the whole of the ring. You can punch or kick your opponent. If you get into a grapple then you have to waggle your joystick left and right as fast as you can. The winner picks up the other fighter and throws him to the canvas. You are also able to climb a corner post and jump on the other fighter.
If you are pinned to the canvas then you need to waggle that joystick again to throw your opponent off. Also seen on screen are energy bars. The lower these get the harder it is to throw your opponent when pinned to the canvas. There is also a time limit, how many wins, score, picture of the fighters and a picture of the referee who will commentate on the fight.
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