The rating badge on the cover art and on the cartridge is a superficial difference as the game and console hardware is all the same.
You can play a PEGI rated game on a US rated console and vice versa.
The Gaelco Arcade 2 cartridge for Evercade features 6 action-packed arcade games from Spanish developer Gaelco, featuring hack-and-slash platformer Big Karnak, sci-fi platformer TH Strikes Back, high-speed racing game World Rally 2, and more!
