The oldest domestic competition now comprises of four contests per tournament. The main competition is a league, which now offers qualification to Europe, and had humble beginnings of three students trying to see which one was best. Taking place in Nottingham, the venue of the 2007 and 2008 European Championships, the game selection in England is more rigid than other nations with each division possessing a strict game pool based on skill.

Setup in 2005 by avid Mega Drive player Alberto Campos, Portugal's competition has since ended. In 2011 Alberto decided it was time to put the contests to the sword and replaced them will a lower-key 'journey' series. The first twelve tournament were held in Lisbon, which was the location for the 2009 European Championship, while the Thirteenth spurred off into Porto. Although the Lisbon Tournament is officially dead, it is hoped that the Porto spur will continue to shine.

Following the 2008 European Mega Drive Championship, Germany set about establishing their own domestic tournament. The structure of the contests oscilates between an elimination league (odd numbered tournaments) and a leader board style (even numbered tournaments). The elimination leagues are used primarily for qualification to the European events. The 2010 European Mega Drive Championship was hosted in Nuremberg.

Brazil became the first non-European nation to establish a Mega Drive competition. Born from the Do Além series of tournaments, the "Mega Drive special" took place on 21st September 2008 and was won by Aldo. A Second Brazilian Mega Drive Championship took place 18 months later. Going by this schedule, the Third Tournament is due sometime towards the end of 2011.

Evolving from the Gamesboro Genesis Cup of 2008, 2009 saw the United States of America join the array of countries hosting Mega Drive Championships. Held in the State of Georgia, teams (ranging from 1 -3 players) battled over six games in order to propel themselves up the leaderboard. Since 2010, the U.S.A. have slipped off the radar and it is feared the competitions are over.