Arcade machines incorporate real-time injury simulations in sports games through sophisticated animation systems and programmed probability algorithms. Unlike realistic sports simulators, arcade-style games typically feature exaggerated injury animations that temporarily affect gameplay without complex medical accuracy. When a player-controlled character collides with opponents or objects, the game's physics engine calculates impact force and direction, triggering pre-rendered injury sequences such as limping, falling, or clutching body parts. These simulations are often tied to gameplay mechanics - injured characters may move slower, have reduced accuracy, or be temporarily removed from play. The frequency and severity of injuries are typically controlled by difficulty settings and random number generators to maintain balanced gameplay. Modern arcade cabinets use sprite-based animations or 3D models with dedicated injury states, creating visible consequences for aggressive gameplay strategies while maintaining the fast-paced, accessible nature characteristic of arcade sports titles.