Vertigo is a futuristic racing game that combines elements of Marble Madness and Monkey Ball . Players control a high-speed ball called a xorb through challenging tracks, requiring precise steering to avoid dropping off the edge.
The game features multiple modes, including arcade mode with branching paths, career mode where new tracks are unlocked over time, and time trial. Players can collect power-ups for bonuses and customize their xorbs in various colors. Other game modes include multiplayer options and a bowling mini-game, with some tracks featuring armed xorbs that can take damage.