Rhythm Tengoku Gold game cartridge, case, instruction manual, and other included items are all present. Please see the photos for details regarding minor scratches and other imperfections. Given that this is not a new item and is a vintage product, I have marked the condition as "Acceptable" due to some scratches and wear. The game cartridge has been tested and is working. It has been initialized. If you have any questions or need any clarifications, please feel free to ask in the comments. To prevent product substitution, returns are not accepted after purchase. Shipping will be via anonymous delivery. The item will be wrapped in bubble wrap and packaged to prevent water damage.