The Sega Genesis version of WWF Royal Rumble! Wrestle opponents in one-on-one matches, tag team matches, and Royal Rumble events. Playable wrestlers include Hulk Hogan, The Undertaker, Macho Man, Shawn Michaels, and Bret Hart.

Controls: Arrows = Move, Z = Run, X = Punch, C = Kick, X + C = Grapple, Z + X = Eye Gouge / Choke
Grapple Moves: Z = Irish Whip, X = Body Slam, C = Headbutt / Break Grapple, Z + X = Backbreaker, Z + C = Atomic Drop, X + C = Vertical Suplex
Running Opponent: Z + X = Clothesline, X = Hip Toss, C = Drop Kick
Opponent on the Ground: X = Splash / Elbow Drop, C = Knee Drop / Stomp, X + C = Pin, Z + C = Cancel Pin
Other Controls: X + C = Pick Up Chair, A / X / C = Use Chair, X = Tag Partner, Arrows + Z = Climb In/Out of Ring