This version of "The Flintstones" for the SNES is the US release with multilingual support. This suggests that while based on the standard US release, there were localization efforts to include other languages. Further information is needed to know the extent of the changes from other language versions and the US release. It is also likely a Konami title.

Flintstones, The (USA) (En,Fr,De,Es,It)

Flintstones, The (Europe) (En,Fr,De,Es,It)