Nakayama made a cameo appearance in the season finale of the game show I Survived a Japanese Game Show.
In 1999, he started to assist a samurai sword fighting workshop for Rome Kanda, who is host of the Majide game show within a show on the American version of Big in Japan, I Survived a Japanese Game Show.
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He is the emcee for the hit reality TV game show Big In Japan on air throughout Europe.
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It has, over the years, produced miniseries such as Oliver Stone's Wild Palms, game shows such as I Survived a Japanese Game Show, and reality series such as Extreme Makeover: Home Edition (in association with Endemol USA).