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,
Lacrosse during the late 1800s and first half of the 1900s was primarily a regional sport centered around the Mid-Atlantic states, especially New York and Maryland. However, in the last half of the 20th century, the sport spread outside this region, and can be currently found in most of the United States. According to a survey conducted by US Lacrosse in 2016, there are over 825,000 lacrosse participants nationwide and lacrosse is the fastest-growing team sport among NFHS member schools. Field lacrosse is the men's outdoor version of the sport. There are ten players on each team: three attackmen, three midfielders,