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,
Bermuda Lacrosse Association batch of sticks donated by a Canadian box lacrosse team. Equipment was so sparse on the island that initially the goals consisted of garbage cans and parking gate fences until nets were constructed from PVC pipe and fishing net, items readily available on the island. For the first two years due to a lack of players and equipment, games were played with one net reverting to teams clearing and turning around to attack the same goal. Once membership began to pick up, games were moved to Prospect Field (aka. Gymnasium Field) next to National Stadium as the location was better