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 Mann Cup, the most prestigious lacrosse trophy in Canada, was contended for under box lacrosse rules for the first time. Previously, the national senior men's lacrosse championship, awarded since 1901, was competed for under field lacrosse rules. The Mann Cup is an annual tournament that presents the champion of the Western Lacrosse Association and Major Series Lacrosse in a best of seven national championship. A few years later, in 1937, the Minto Cup, began being awarded under box lacrosse rules to the junior men's champions. Currently the Canadian Lacrosse Association oversees the Mann Cup, the Minto Cup, the Presidents Cup