Getaway: High Speed II is a pinball game based on the popular Williams machine. The gameplay revolves around a pinball board with racing themes, featuring roads and on-ramps. Players aim to hit various bumpers and targets to achieve a higher score. Additionally, hitting a special ramp on the board can trigger a mini-game, similar to OutRun, where players must dodge traffic to earn points.
The game ends when the player reaches their hideout, with the objective of avoiding pursuing cops using tactics such as launching multiple balls to confuse them. The goal is to maximize the score before getting caught by the law.