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Hands down North American region ...

For a long time I thought Japanese games used to be the leaders in terms of quality but that has dramatically changed and not in a good way since there's hardly any viable AAA Japanese game franchises left aside from the shrinking players left ...

Most of the startups have straight up disappeared from the scene, went defunct, and are no longer making games anymore ...

There are very few recognizable Japanese game developers left, Sega, Capcom, Nintendo, Koei Tecmo, Bandai Namco, Square Enix, Konami and about half of them have their futures at stake in the next decade ...

Many of the once great figures like Miyamoto, Sakaguchi, Kojima are long past their primes and it's going to be hard to replace them ... (I wonder if we're even going to get a new renaissance in Japanese gaming as it would be a shame that a once affluent gaming culture falls under.)