Primal Rage for the Sega 32X is a 2D fighting game set in a post-apocalyptic world where players battle as one of seven fearsome gods resembling prehistoric creatures. These behemoths battle across various stages with unique backdrops, striving for dominance over the new Urth. It features traditional one-on-one combat and emphasizes special moves, combos, and brutal finishing attacks. Players must harness these deities' primal powers to annihilate opponents and assert their supremacy. The game is known for its blend of fantasy elements with a prehistoric-inspired setting, falling into the fighting genre.