The object of the game is to kill Russian soldiers, save Colonel Sam Trautman and avoid being killed. Occasionally the game will give hints and mini-missions, such as instructing the player to cause a diversion like blowing up the Soviet arsenal to distract the soldiers and give an opportunity to rescue Trautman. John Rambo has his Compound bow with the explosive arrows, a knife, and several machine guns. He can also pilot helicopters.
- Console Versions: Sega
- PC-DOS version was developed by Ocean and published by Taito and Ocean.
- Amiga, Spectrum, C64, Amstrad also were Taito and Ocean.
- Taito also released an arcade game based on the film as well.