Super Real Mahjong P VSega Saturn Japanese (NTSC-J) Software
So... The Saturn is sort of known - at least to us - for these naughty anime mahjong games, but this one surprised even us. The back of the case takes this game to a whole 'nother level, as there are actually breasts exposed on the back of the case. You must be 18 to purchase this one.
Used Super Real Mahjong P V (good case, good instructions)