Someone has suggested to me it was assembler, though I think there were some visual design tools, too. So how did they make it?
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A:
I think it was actually assembler. 68 K assembly, as this article here shows. You can even find the 68K memory map there.
If you are actually interested in doing it, this nice post, does contain a whole lot of information.
If you try, you can even find a sega genesis C compiler ( I haven't tested it myself ),
Mr.Gando
2010-07-10 00:46:49