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 is divided into three stages, with a number of members eliminated after each round. A wide array of games are used each tournament and are democratically chosen by the participating members. Contests are held in Lisbon, which was the location for the 2009 European Championship. The Portuguese Mega Drive Tournaments contain some of the most skilled individuals on a 16-bit console.

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.

Following the 2008 European Mega Drive Championship, Germany set about establishing their own domestic tournament. The contest has already undergone some considerable changes, evolving from an elimiination league format to a leaderboard competition. Held in Nuremberg, Germany represents the first truly national competition, with people from across the country participating.

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.