In Europe, a remake of Choplifter II was released under the same name, and later ported to Game Gear. Despite the confusing name change, these are not conversions of the Super Nintendo game. It was the third Choplifter title starting with the original Apple II game released in 1982. The gameplay revolves around piloting a rescue helicopter into hostile territory and rescuing hostages. The player's task is made more complicated by the limited number of hostages the helicopter can carry as well as increasing difficulty throughout the four chapters of the game. Each chapter is set in a different environment, starting off with jungle, then desert, sea and finally city.

The game also has a number of minibosses spread throughout the campaign.