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In the Japanese version of the game, Pikachu can play with an Onigiri (Riceball). In the US version, this was changed to a Cupcake.
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The objective of the game is to hit a watermelon with a stick, with Pikachu wearing Ash's hat from the anime series to cover his eyes. There are watermelons scattered around along with bananas. Pikachu can trip on the watermelons a couple times before he has to quit the game, whereas tripping on bananas is an automatic game over.
If Pikachu loses, he gets a Soda Can Tab in the Japanese release, and a bottle cap ring in the US release's "Pokéball Piñata".
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The Nintendo 64 in the Japanese version looks rather unpolished and appears to have Super Famicom cartridges with it, which doesn't make sense since N64 cartridges are the same in design between America and Japan and Super Famicom games can be played when the Tristar 64 is attached but nothing seems to be attached.
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Every Pokémon except Pikachu, Caterpie, and Butterfree have different cries between the two versions due to English names that differ from the Japanese names.
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