 If you liked
Touhai Densetsu Akagi: Yami ni Maiorita Tensai
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 ...then you might like
Shoubushi Densetsu Tetsuya
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Akagi is similar to Tetsuya in that they both deal with the dark, seedy underworld of Mahjong where the stakes are high and the consequences dire. Both Akagi and Tetsuya deal with similar dark themes, although Akagi is generally recognized to be the superior amongst the two. Tetsuya predates the Akagi anime by several years. Both have their own distinct styles and are great additions to the genre. If you liked Akagi then you should definitely check out Tetsuya.
Almost the only similarity is Mahjong (a chinese board game), and all the dirty triks that comes with that game cheating, figthing and the most importent surviving.
If you liked Tetsuya then you should definitely check out Akagi.
Akagi and Tetsuya are both about the same basic subject - that is, riichi mahjong - and although the emphasis is more on cheating and underhand play in Tetsuya than on the godly luck and mindmessing of Akagi, the two share a lot of common links - both are biographicals of sort, focusing on the rise of their titular subjects into sorts of mahjong legends. There's enough common ground that fans of Akagi will almost certainly like Tetsuya, and I should imagine vice-versa.
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