The player assumes the role of John Rambo, star of the Rambo series of films.
The game runs on the Sega Lindbergh system board. The arcade cabinet features a 62-inch screen.The game was released in Japanese arcades on September 18, 2008.
Destructoid writer Anthony Burch described the game as the dumbest game he ever played in his adult life. Jean Snow from Wired enjoyed playing it, speaking positively about the shooting the Uzi gun controller.