Fox Sports College Hoops '99 features 120 authentic NCAA teams and their respective logos, including all major conferences at the time, preseason and conference tournaments, and updated rosters for that season. It includes three game modes: Exhibition, Season, and Tournament, with the ability to skip ahead and compete in the Sweet 16 or the Final Four.
The gameplay is geared towards the style of Courtside, with a TV-style presentation in association with Fox Sport. It also has three different skill levels, multiple camera angles, and stat tracking throughout an entire season. Classic teams are available to be played, and players can customize lineups to their liking. Friends can go head-to-head in multiplayer mode.