What is harder, the game itself or this drinking game? Be careful not to die in real life.
* Take a ''very small sip'' every time you die.
** Take another if it was caused by a trap.
* Down a six pack when you beat the game.
** Call an ambulance in advance if you [[spoiler:[[KaizoTrap get killed]] [[PressXToNotDie during the ending]]]]. You know what to do afterwards.
* Take a drink when you notice a reference.
* Take a drink everytime a spike shoots upward or downward. Take another if it happens more than once in the same room. Take another if the spike shoots off in a different direction than what it's pointing at.
** You'll be dead by the end of the first area at that rate.
* Take a drink every time a Delicious Fruit falls up.
* Take a drink every time [[NonStandardGameOver a different game over tune plays]].