The USA release of Total Carnage mirrors the core gameplay of the European version, featuring intense run-and-gun action and diverse levels. This version likely includes localized text and potentially minor adjustments for the North American audience.  The game was published by Acclaim Entertainment and developed by  Software Creations. It's noted for its satisfying combat and challenging level designs.

Total Carnage (USA)

Torneco no Daibouken - Fushigi no Dungeon (Japan) (Rev A)