Sega Genesis and Mega Drive
Genesis is the US name for the console and MegaDrive the Euro name..

Enter the options menu and select the "Hard" difficulty level.
Wait on this screen until the difficulty selection changes to "Yeah, Right".
Game play will begin with increased difficulty and 99 continues.

An alternate method of enabling this mode is to enter the options screen and set the sound test option to "8".
Expert mode will begin when the music ends.

Submitted by: NfS11

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*Please note: In the US and some other regions this system is known as the Sega Genesis. In other regions, including Japan and Europe, the console is known as the Sega Mega Drive.