Bare Knuckle III (Japan) [En by Twilight v1.0]

Getting Started:

Start by pressing Enter to skip the title screen and reach the character select. Use arrow keys to highlight a fighter, then press X to pick them. You can also choose between one or two players via the Select button on the option screen. As soon as you confirm, the game throws you into the first stage.

Move left or right with the D-pad, press S to punch or kick, and hold forward while pressing S to perform a running attack. Each character has a special move that drains health, triggered by pressing A plus S together (or mapped to Z by default). The core loop is simple: walk through each level, beat down waves of enemies, collect food and weapons for health and offense, and take down a boss at the end.

Since this is the English-patched version, all dialogue and menu text are in English. If you run into problems, you can adjust the difficulty or number of lives from the options screen before starting. The game is notoriously tough, so don't be shy about using continues.