Psycho Pinball is another pinball game in the style first introduced in Pinball Dreams and later popularized in Pinball Fantasies . Standard features of these types of pinball simulations include an animated backglass display, multiple bonuses including a multi-ball, extra ball, etc., and background music that changes based on active specials.
There are three main tables: The Abyss (Aquatic theme), Trick or Treat (Horror theme), and Wild West (Western theme).
An additional gimmick is the fourth Psycho Pinball table (Circus theme) with bonuses that can launch you to the other three tables, leading to massively high scores.
Gameplay involves navigating through each table, using special features such as flippers, bumpers, and targets to achieve high scores. The game requires skill and strategy to master its many features and unlock all of its secrets.