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 lacrosse stick, each player must also wear a certain amount of protective equipment, including a lacrosse helmet with facemask, lacrosse gloves, arm and shoulder pads, and back/kidney pads. Rib pads are optional in some leagues. In some box leagues, especially the NLL, the five "runners" wear helmets specifically designed for box lacrosse. These helmets consist of a hockey helmet with a box lacrosse face mask attached instead of a hockey cage. During a typical game the number of officials can range from one to three, depending on the league and level of play. In most games there are at least