Last time I did something like this, it was a one-shot adventure set in Draj in Dark Sun (think Aztec city with a despotic sorcerer-king) and the PCs were slaves playing a fully-violent version of soccer with a severed head as a ball.
The rules were simple enough, but there are 4e and may need some adapting:
[sblock]
The Cabeza
When you take a move action while in possession of the cabeza, you can choose to move the cabeza a number of squares equal to your speed.
To shoot, simply move the cabeza into the goal. Each square of movement must bring the cabeza closer to the goal and cannot pass through an occupied square. After a successful goal, the next creature to start its turn or move adjacent to a spiked totem on their own side of the court is in possession of the cabeza.
If you trespass upon the realm of your rival moon without a cabeza in your possession, you lose a healing surge. Unless you're the goaltender, you cannot touch the cabeza with your arms or hands.
A creature is a Forward if it is in the enemy's side of the court. A creature is Defense if it is in their own court. The exception is the Goaltender which is a dedicated position chosen at the start of play.
Team with the highest score at the end of the second half wins. In the event of a tie, both teams are sacrificed to Ral and Guthay!
Forward
When you have the cabeza in the enemy's side of the court, if you hit an enemy with an attack, you can slide 1 square. The cabeza slides with you.
Defense
When you hit an adjacent enemy who has the cabeza with an attack, you can take possession of the cabeza.
Goaltender
Gain an aura 2. When an enemy tries to move the cabeza into a square of the goal covered by your aura, describe how you defend the goal and make a skill check (DC 21) as a free action. If you succeed, you take possession of the cabeza and must immediately move it up to your speed away from you.[/sblock]