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Similar to the sixth installment of the series, this is a fighting game along the lines of Street Fighter or Mortal Kombat. It is based on the main storyline of the manga/animé series Hokuto no Ken, also known as Fist of the North Star.

In the game, the player can choose to fight as various characters from the series, including Kenshirou, his brother Raou, the Emperor Souther, the leader of Nanto Seiken Rei, and others. There are three modes in the game :

- In story mode, the player fights as Kenshirou in pre-determined battles that reflect the story of the series (like facing the assassin Heart).
- In battle mode, the player participates in a tournament by choosing one of the characters.
- In free fight mode, the player choses characters as well as the opponents. During battles, the player must first accumulate energy in order to unleash devastating techniques unique to each character.