A difficulty level that first appeared on the European release of Metal Gear Solid 2: Sons of liberty, which was released several months after the other versions.
Basically, it's a step-up from the previous hardest difficulty, and reserved for hard-core gamers and/or people with too much time on their hands.
A: I finally did it! I cleared MGS2 on European Extreme!
B: A month well spent.
1) American version of Japanese gameshow "Takeshi's Castle," now featuring two mis-matched teams pit against each other in this bastion of low-brow comedy. Features hosts Kenny Blankenship and Vic Romano, field reporter Guy LeDouche, field marshall Captain Tenneal, massive amounts of mystery sludge, and repeated and frequent use of the word "Babaganoosh". Abbreviated MXC.
"Hey, someone find his baba. We can reattach it to his ganoosh." - Kenny Blankenship, about Yella Babaganoosh's most painful elimination.
A long time ago (I believe the 80s) there was a game show in Japan called Takehashi's Castle. 100 people would try to take over a castle, but to get to it they'd have to go through obstacles, most of which were extremely dangerous and extreme, and if you lost the game you were eliminated.
Years later, Spike TV took the show and turned it into a show called Most Extreme Elimination Challenge, or MXC. They dubbed it badly with funny, often perverted commentary by the two host Vic Romano and Ken Blankenship, and edited out the prizes and things like that.
1) Scenario:
A male contestant dressed in a roll of bamboo shoots must climb up a hill covered in foam, while avoiding giant acorns being rolled down the hill at him. The starting point at the bottom of the hill is covered in bushes.
2) Action:
The contestant is hit by rolling acorns and is forced back to the starting point.
Commentary:
"Well I guess after taking a few nuts on the chin, it must feel pretty good to be back in the bush".
All very legitimate and wholesome when taken in context.