The games are held biennially in different countries and offer more than 50 different sports and challenges including archery, rugby sevens, windsurfing, poker, swimming, athletics and softball, with the "Toughest FireFighter Alive" being the blue riband event.
The largest games to date were held in Chungj, Republic Of South Korea from 10–18 September 2018 with approximately 6,600 athletes and 20,000 supporters and spectators.
Obstacle course: competitors are required to carry various pieces of equipment whilst negotiating tunnels and walls.
Tower: competitors are required to handle and pitch ladders and to carry firefighting equipment up ropes.
The core sports of the games are archery, arm wrestling, badminton, basketball (3:5, 5:5), bodybuilding, ten-pin bowling, bucket brigade, cross country running, cycling, climbing, darts, eight-ball, nine-ball, golf, horseshoes, judo, karate, bowls, marathon, half marathon, poker, powerlifting, rugby sevens, sailing, skeet shooting, soccer, fastpitch softball, softball, squash, swimming, table tennis, tennis, Toughest Firefighter Alive, track and field, trap shooting, triathlon, tug of war, volleyball (2 man/ 6 man), windsurfing, and wrestling.