Fitness Boxing: Fist of the North Star blends the rhythmic workout mechanics of the Fitness Boxing series with iconic characters and settings from the Fist of the North Star universe. Players perform boxing and martial arts moves to the beat, earning points and unlocking new routines. The game offers a variety of training modes, including cardio, strength, and endurance, all set to dynamic music and themed environments. It is a pure sports title with no special edition content.