This game is an absolute abomination in terms of gameplay and game mechanics. Obviously the Atari 2600's incredible limitations would mean you had to do everything with a combination of movements and the sole button its controller features, something that is a lot harder than you could realize while enemies beat the ever pixel snot from all directions as you try to land a single hit in turn. I've seen videos of those who exploit the elbow move done here, but to be honest, performing it to the point of executing such takes a whole lot of patience than you could ever bother with.

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