Puyo Pop Fever[c] is a 2003 puzzle video game developed by Sonic Team and published by Sega.

The GameCube and Nintendo DS versions were released in North America, with Atlus handling publishing duties for the latter.

Each time groups of puyo pop, the player will score points and send "trash" (aka "garbage" and "nuisance") to their opponent.

A new addition to the game mechanics is Fever mode, which occurs when a bar in the middle of the screen is filled up.

In a limited amount of time, one must find a trigger point in the puzzle, which will cause a large chain to go off and attack the opponent.

The player plays the role of either Amitie or Raffine, students at the school, as they venture across the Puyo Pop Fever world to find the cane, while meeting many wacky characters along the way and battling them.

When playing as Raffine near to the end of the game, it is revealed that Accord never actually lost her flying cane.

Raffine then plans on revealing her and Popoi's secret, but fails in her ending, as she is knocked unconscious by Ms. Accord, losing all memories of the flying cane incident.

Hardcore Gaming 101 writer Will M criticized the title for being too similar to its predecessor, arguing that the new content was not enough to differentiate it.

In Sega Superstars Tennis, a minigame based on Puyo Pop Fever is featured.