Arm wrestling was a physical game played on Earth in which opponents attempted to force the other person's hand to the table or other surface being used. Sullivan's Public House was a common place for this game. Harry Kim once defeated an opponent Liam, who seemed to be much more powerful than him. (VOY: "Fair Haven", "Spirit Folk")
Klingons raised the stakes by having a d'k tahg on either side of the arms. Thus, whoever lost got their hand impaled. (TNG: "Redemption II")
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