Yakuza Kiwami 3 Brings Back Two Bizarre Sega Arcade Games—Including One Where You Race an Ambulance to the Hospital

Yakuza Kiwami 3 resurrects Magical Truck Adventure (1998) and Emergency Call Ambulance (1999), two forgotten Sega arcade games, blending their chaotic charm with modern controls.

The ambulance racer forces players to balance speed with a patient’s health bar—failure triggers a flatline heart monitor and upbeat music.

Emergency Call Ambulance contrasts sharply with Yakuza’s usual mix of drama and comedy.

Its on-rails gameplay demands precision as players navigate Tokyo’s streets while a passenger repeatedly begs, “I don’t want to die!” The game ends with a jolly tune after death, a stark tonal shift from the series’ grit.

"I don't want to die!"

Sega’s emulation modernizes controls, replacing physical joysticks with analog sticks. As one player noted, “Flicking a couple analog sticks up and down is a lot less tiring!” The teleport/time travel mechanics between games preserve the arcade’s frantic energy while streamlining navigation.

Yakuza Kiwami 3 launches February 11 on Steam, offering a bridge between late ’90s arcades and modern gaming.

The tonal whiplash—between melodrama and absurdity—remains intact, as one critic observed: “I can’t think of a better pairing for Yakuza’s tonal whiplash between character melodrama and absurd sidestory hijinks.”