The game was voted the 3rd best game of all time in Amiga Power. The voices, including the 'Ice Cream' salesman, were voiced by sometime collaborator Joseph Michael Burdett working under the pseudonym Jams O'Donnell. The music, written by Simon Rogers and remixed and coded by Richard Joseph, won the 1991 Golden Joystick Award for Best Soundtrack. Zzap, CU Amiga and Computer and Video Games scored the game highly. Speedball 2 is one of Bitmap Brothers' most successful titles. There are five game modes: knockout, cup, league, practice and multiplayer. If all three substitutes are injured, the injured player will be forced to return to the game and play on in spite of his injuries.

When a player is injured, he is replaced by one of three substitutes. The same amount of points for scoring a goal is given for injuring a player from the opposing team. The amount of points that a team receives for scoring a goal starts at 10 but can be increased to 15 or 20 via the use of score multipliers located on the walls of the pitch. Teams have nine players on court rather than five, and targets on the floor and walls can be hit to receive bonus points. Speedball 2 makes several changes over the original Speedball. The game starts in 2105 with the emergence of a new team, Brutal Deluxe.

As the organisation gives place to anarchy the game is forced underground, but five years later, in an attempt to regain public interest, Speedball 2 is born. According to the game story, the first Speedball league (founded in 2095) fails due to violence and corruption.

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