Box lacrosse is typically penalized with expulsion and suspensions. In 1990, when the Six Nations created the new Mohawk lacrosse league, fighting was specifically targeted as unacceptable. Violators were ejected from the game in which the altercation occurred and given a minimum three game suspension. Box lacrosse is the most popular version of the sport in the Czech Republic. It is also played to a marginal degree in Australia, primarily by players who have played field lacrosse. Club level box lacrosse leagues in the United States have increased the number of players exposed to the sport, including the: Baltimore Indoor Lacrosse League,
Box lacrosse use a lacrosse stick to catch, carry, and pass the ball in an effort to score by shooting a solid rubber lacrosse ball into the opponent's goal. The highest levels of box lacrosse are the National Lacrosse League (NLL) (professional), Box Lacrosse League (semi-pro), Senior A divisions of the Canadian Lacrosse Association (semi-pro), the Western Lacrosse Association (semi-pro), and Major Series Lacrosse (semi-pro). While there are 59 total members of the Federation of International Lacrosse (FIL), only fifteen have competed in international box lacrosse competition. Only Canada, the Iroquois Nationals and the United States have finished in the top three