John Madden Football II is a football simulation game published by EA. John Madden is on the cover. It was developed by D.C. True, LTD. The addition to this game was a larger playbook. It was only released for the PC. It was released in 1991. The ESRB rated the game E (Everyone.) Once again, there is no NFL or NFLPA licence, so the teams are based on their cities. A popular feature was the ambulence, which came out when people were hurt and carried them off the field.