There are about 10 songs, but most of the songs are short loops. Rambo's soundtrack leaves a lot to be desired. The short music loops in the game also didn't help the game's reputation. Though the Japanese version's manual explains that this is due to Rambo losing his weapons on the way down from his parachute. The game received mostly negative reviews, and was criticized for the poor gameplay mechanics, the enemies that weren't in the movie (ie floating skulls, giant spiders, and flamingos), Rambo wearing red spandex and not starting the game with his machine gun as shown on the game's cover, and instead armed with a knife.

There is also a part in the game where you play as Co Bao, though this section is ruined by the fact that Co can only walk and cannot attack enemies in any way. Later, Rambo will not only start to fight soldiers, but also acquire better weapons such as a bow and arrow, a machine gun, and pineapple grenades. In the game, Rambo will mostly be fighting tigers, snakes, and other wild animals, as well as fighting a giant spider called a Light Mover. It uses many of the same mechanics the interface is similar, you gain experience and go up levels in the same way, caves are dark until you light them up, there are similar enemies, and you even drink potions to refill your energy! The game was based on the movie Rambo: First Blood Part II, and while the game's cutscenes follow the movie, the gameplay itself has little to nothing to do with the movie. The game borrows heavily from Zelda II: The Adventure of Link (NES).

It was developed by Pack-In-Video in Japan and published by Acclaim in North America and Europe. Rambo for the NES is a side-view platform action-adventure game.

For other games in the series, see Rambo.

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