Heavenly Foot of Pain

This technique is simply a falling axe kick. Tsunade concentrates her incredible strength into her heel and strikes the enemy. It was shown that when she strikes the ground it results in a gigantic crater that can even kill an opponent caught in its immediate strike zone.

Trivia

 * In Naruto: Ultimate Ninja 3, some characters can be customised to use this technique.
 * In "Naruto 6: Road to Ninja" Sakura used this technique.