Hard to find good pictures of Neo Geo carts where you can compare the sizes. But trust me, they are bigger than any cart I've seen

EDIT:
There's even a few Neo Geo CD games that were only released on CD. But nothing spectacular. Loading times are bearable if you're in love with SNK games like I am but Real Bout Fatal Fury Special has loading times of 45sec (yes, I clocked it

between new opponents

And yes, there are differences between Euro/US and JAP games like text, blood and most notable 'Bounciness'!
A number of US and European games have minor graphical differences to their Japanese counterparts. As you might expect, Japanese consoles feature Japanese text, whilst US and European consoles have English text. All Western style games (i.e. not Mahjong) feature English speech, regardless of their intended region. Blood in US and European fighters is green or white, most notably Samarai Showdown (plus you can't perform a "fatality") whilst the blood is red in the Japanese version. Japanese fighting games also feature a lot more bounce to certain parts of the female characters' bodies! (e.g. Mai

)