It is a remake of Technōs Japan's 1987 arcade game Double Dragon and incorporates elements from its sequels and home versions.

Instead of making a second installment titled Double Dragon Advance II: The Revenge, Ebinuma chose to cram all of the sequel's characters and elements into the game, which owes to limitations in both cartridge size and the scope of the project, the development team excised several planned features, including an extended playable prologue sequence and game modes where players could take control of either the enemy character Abobo or Marian.

The Sound Test on the Option Mode is available by default and does not require a code, and a Gallery is made available on the main menu after the completing the game on the Expert setting.

The Special Thanks on the end credits now mentions Bruce Lee, as well as Yoshihisa Kishimoto, the director of the Double Dragon arcade game.

Double Dragon Advance garnered generally positive reviews, with a few of the criticisms aimed at the short length of the game.