During the Dreamcast's roughly 2 year life in North America, it managed to gather a fairly decent set of North American exclusive titles, mostly sports titles, 26 in fact. Another 29 Dreamcast games are exclusive in the sense that they are only available in Japan or North America. No games were exclusive to the United States or Canada respectively.
The table below contains the list of all 26 NA exclusives, sorted from oldest to newest release date.
| Game Title | Release Date | Publisher | Genre |
|---|---|---|---|
| Centipede | November 23, 1999 | Leaping Lizard Software | Arcade |
| Armada | November 26, 1999 | Metro 3D/td> | Shooter |
| Test Drive 6 | December 21, 1999 | Pitbull Syndicate | Racing |
| Namco Museum | June 25, 2000 | Mass Media | Arcade/Compilation |
| NFL QB Club 2001 | August 24, 2000 | High Voltage Software | American Football |
| NFL Blitz 2001 | September 12, 2000 | Avalanche Software | American Football |
| Hoyle Casino | September 29, 2000 | Sierra On-Line | Gambling |
| Frogger 2: Swampy's Revenge | October 12, 2000 | Blitz Games | Action |
| Demolition Racer: No Exit | October 25, 2000 | Pitbull Syndicate | Racing |
| 4x4 Evo | October 26, 2000 | Terminal Reality | Racing |
| Ms. Pac-Man Maze Madness | November 13, 2000 | Mass Media | Maze/Arcade |
| Maximum Pool | November 16, 2000 | Dynamix | Pool/Billiard |
| ESPN NBA 2Night | November 20, 2000 | Sunset Entertainment | Basketball/Sports |
| Who Wants to Beat Up a Millionaire | December 1, 2000 | Hyptonix | Action |
| Prince of Persia: Arabian Nights | December 4, 2000 | Avalanche Software | Action/Platformer |
| Q*bert | December 5, 2000 | Pipe Dream Interactive | Action |
| Max Steel: Covert Missions | December 5, 2000 | Treyarch | First Person Shooter |
| Bang! Gunship Elite | December 22, 2000 | Rayland | Space Combat |
| Sega Smash Pack Vol. 1 | January 30, 2001 | Sega | Game Compilation |
| Atari Anniversary Edition | June 26, 2001 | Digital Eclipse | Arcade Compilation |
| Alien Front Online | August 7, 2001 | Wow Entertainment | First Person Shooter |
| NCAA College Football 2K2: Road to the Rose Bowl | August 28, 2001 | Visual Concepts | Football/Sports |
| Ooga Booga | September 11, 2001 | Visual Concepts | Action Platformer |
| Mat Hoffman's Pro BMX | September 12, 2001 | Runecraft | Racing/BMX |
| Bomberman Online | October 30, 2001 | Hudson Soft | Puzzle/Online |
| Midway's Greatest Hits Volume 2 | November 15, 2001 | Digital Eclipse | Arcade Compilation |
29 games were available in both Japan and North America but not Europe. This means that for European gamers, the North American version is the definitive, English version of the game they want to play. The following list will be in the oldest-first order. For the dates, the first release date is chosen which usually is the Japanese release date.
| Game Title | Release Date | Publisher | Genre |
|---|---|---|---|
| Seventh Cross: Evolution | December 23, 1998 | HuneX | RPG |
| Flag to Flag: Super Speed Racing | March 25, 1999 | Zoom | Racing |
| Elemental Gimmick Gear | May 27, 1999 | Birthday | Action RPG |
| The King of Fighters: Dream Match 1999 | June 24, 1999 | SNK | 2D Fighter |
| Seaman | July 29, 1999 | Vivarium | Unique |
| Gundam Side Story 0079: Rise from the Ashes | August 26, 1999 | BEC | Shooter |
| NFL 2K | September 9, 1999 | Visual Concepts | American Football |
| Industrial Spy: Operation Espionage | September 23, 1999 | HuneX | RPG |
| Cyber Troopers Virtual-On Oratorio Tangram | December 9, 1999 | Sega AM3 | Mech Fighter |
| D2 | December 23, 1999 | Wrap | Survival Horror |
| The Ring: Terror's Realm | February 24, 2000 | Asmik Ace Entertainment | Survival Horror |
| The Typing of the Dead | March 30, 2000 | Smilebit | Typing Arcade |
| The King of Fighters '99: Evolution | March 30, 2000 | SNK | 2D Fighter |
| World Series Baseball 2k1 | July 25, 2000 | Wow Entertainment | Baseball |
| NFL 2K1 | September 7, 2000 | Visual Concepts | American Football |
| Sega Marine Fishing | October 16, 2000 | Wow Entertainment | Fishing/Arcade |
| NBA 2K1 | October 31, 2000 | Visual Concepts | Basketball |
| Mars Matrix | November 9, 2000 | Takumi Corporation | 2D Shooter |
| The Last Blade 2: Heart of the Samurai | December 21, 2000 | SNK | 2D Fighters |
| Giga Wing 2 | January 18, 2001 | Takumi Corporation | 2D Shooter |
| Reel Fishing: Wild | February 22, 2001 | Westone Bit Entertainment | Fishing/Arcade |
| Illbleed | March 29, 2001 | Crazy Games | Survival Horror |
| Sports Jam | April 12, 2001 | Wow Entertainment | Sports |
| Death Crimson OX | May 10, 2001 | Ecole | Lightgun |
| World Series Baseball 2K2 | August 14, 2001 | Visual Concepts | Baseball |
| Sega Bass Fishing 2 | August 21, 2001 | Wow Entertainment | Fishing/Arcade |
| NFL 2K2 | September 18, 2001 | Visual Concepts | American Football |
| Fatal Fury: Mark of the Wolves | September 27, 2001 | SNK | 2D Fighter |
| NHL 2K2 | February 12, 2002 | Treyarch | Hockey |