So, I just dumped a copy of Carnival Games: Monkey See Monkey Do.

The checksum just so happens to match http://redump.org/disc/23435/.

So, what do I do now? The games have different titles in different regions, despite the disc being identical.

usually thats when you put the alt title in non-latin field so it's searchable
imo USA release should get priority since Europe could have regional names for every area its released in

All my posts and submission data are released into Public Domain / CC0.

I think its a case for a tilde:
http://redump.org/discs/region/T/quicksearch/~/

PX-760A (+30), PX-W4824TA (+98), GSA-H42L (+667), GDR-8164B (+102), SH-D162D (+6), SOHD-167T (+12)