Input (grade 12): It was distributed under the name Sega Super 32X in Japan, Sega Genesis 32X in North America, Sega Mega Drive 32X in the PAL region, and Sega Mega 32X in Brazil.
Output (grade 4): In North America, it was called the Sega Genesis 32X. In Europe and Australia, it was called the Sega Mega 32X.