River City Ransom (Downtown Nekketsu Monogatari) (Japan) (September 1988)
Downtown Nekketsu Monogatari (ダウンタウン熱血物語, released in the USA as River City Ransom) is a beat-em-up developed and published by Technos Japan for the Famicom on April 25, 1989 (apparently delayed from the February '89 release date shown in this ad).