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

Walkthroughs and Guides
Outside link to all the information you'll need on this game, and more!
Courtesy of: Gamefaqs.com

Secret island
Collect an unused inner tube, Icarus wings, or rocket skates.
Use one of those items on level 1 to cross the water in the upper right corner of the map to reach an island with several presents.
Use the Unfall available on this island to return.

Secret level
Collect an unused inner tube, Icarus wings, or rocket skates.
Use one of those items on level 1 to cross the water in the lower left corner of the map to reach an island.
Take the two presents and fall into the hole in the center of the island to reach a hidden level. Use the hot tub to be healed and the lemonade stand for an extra life.
Leave this level by using an Unfall to return to level 1 or fall off the edge to return to the highest level previously visited.

Extra presents
Approach Santa while he is looking in his bag.
Do not move when he looks up.
Santa will drop two or three presents if you can reach him.

Submitted by: Carlbastido72

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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.