Scott Pilgrim wouldn't exist if it weren't for River City Ransom. The comic took a lot of its style from the game from the super-deformed anime characters to the way that enemies explode into coins.

River City Ransom was amazing at the time. So many other beat 'em up games were coming out but none had the depth that this one did. Every other game was a sidescroller that saw you going through a linear world beating up everyone along the way whereas River City Ransom let you go anywhere in the world you liked, buy items at shops (with the money from vanquished foes) that let you increase your abilities or learn new fighting moves, and, of course, beat up everyone along the way.

Fittingly, Scott Pilgrim vs. the World: The Game is almost a spiritual successor to this classic.