Puyo Puyo (1992) is an enhanced version of the 1991 MSX2 and Famicom Disk System game of the same name. The game was developed for the Sega System C-2 arcade hardware and ported to a variety of consoles.

Puyo Puyo is a puzzle game in which the player matches four or more "Puyo" of the same color together. This game is the precursor to an identically-titled arcade release.

Puyo Puyo contains three modes: Endless, Mission, and Verses. In Endless Mode, players match Puyo until the top of their well is filled. If the player chooses, either a giant 2x2 green Puyo or Carbucle will periodically help the player clear space on their board. Mission mode gives the player several challenges to complete, such as clearing a set amount of Puyo or clearing all Puyo of a certain color. Verses mode allows players to battle each other.