Pac & Pal

Pac & Pal (パック＆パル Pakku & Paru?) is an arcade game that was released only in Japan by Namco in 1983. The game ran on Namco Super Pac-Man hardware, and the object of the game was for Pac-Man to eat all the items before he was caught by the ghosts. Most of the items are fruits from the original Pac-Man game with a few new additions. Their value varies, starting with cherries at fifty points. The items had to first be unlocked by turning over cards distributed around the maze (instead of eating keys like in Super Pac-Man). Very few units still exist, as this is possibly one of the rarest Pac-Man titles to be released.

Source: Wikipedia, "Pac & Pal", available under the CC-BY-SA License.