According to ESRB, this game contains: Comic Mischief
I'm a big fan of gimmicky pinball games and I also like Mario, so this little cart seemed tailor-made for me. It started strong and kept me playing for a few hours, but everything went downhill so rapidly that it was force of will alone that enabled me to see the credits roll. In fact, I grew such hatred for it that it went out my window and became a gift to the creatures living at the bottom of the Pacific Ocean. I'm sure the sea cucumbers will get more use out of it than I will.