Pac-Attack is a puzzle game based on Namco's Japanese-only arcade puzzler Cosmo Gang the Puzzle, similar to other block-dropping puzzle games from the time such as Puyo Puyo.
The objective of the game is to place ghosts and then, after three pieces, make Pac-Man eat as many ghosts as possible to try and clear up the game area. The direction of Pac-Man's movement is chosen at random between left or right, but if he bumps against a block or "wall" on the game area, he will change his direction. If a line of blocks and/or ghosts reaches the top of the game area, the game ends.
The game also features a versus mode against another human player, where eating more ghosts will give your opponent fewer ghosts in their area. Additionally, there is a Puzzle mode with 100 levels, requiring you to eat all ghosts with no more than 4 Pac-Men at a time, and allowing you to change Pac-Man's direction with the press of a button.