Ashbourne's Royal Shrovetide Football game involves two sides competing to move a ball to posts at opposing ends of the town.
It takes place across fields, streets, car parks and waterways each Shrove Tuesday and Ash Wednesday.
The game was won 1-0 by the Up'Ards, who defeated the Down'Ards in the two-day event.
The Up'Ards - traditionally those born north of Henmore River - play against the Down'Ards from the south of the town's river.
Each game begins with a guest of honour throwing the elaborately painted ball into the crowd.
Prince Charles and the late Nottingham Forest and Derby County football manager Brian Clough are among the famous names chosen to "turn up" the ball in previous years.
This year the honour fell to Dallas Burston, a former GP who became a businessman, and John Stubbs, a retired dairy farmer.
Shop windows around the town were again boarded up ahead of the famously hard-fought contest.
Players were also reminded they were not allowed to climb over parked cars or enter cemeteries, churchyards and memorial gardens.
A goal was scored by Kurt Smith at about 20:20 GMT on Tuesday and it took nearly and hour for it to be confirmed. There were no goals on Wednesday.

Shaun Ritchie, from Fraserburgh, was last seen with friends at a remote woodland area near Strichen at the end of October last year.
The operation is one of Police Scotland's longest-running missing persons inquiries.
The force said there was no evidence of a crime.
Det Ch Insp Matt Mackay said: "We are trying to bring closure to the family.
"It's one of the longest-running inquiries. It's such a vast area. It takes time."
Play has ended in a mass game of football that has been played in a Derbyshire town for centuries.
[NEXT_CONCEPT]
Police say they want to help bring "closure" to the family of a missing Aberdeenshire man, one year after his disappearance.