The gameplay in Ketsui: Kizuna Jigoku Tachi Extra is fast-paced and action-packed, with players controlling a ship as it navigates through levels filled with enemy ships. The game features a variety of power-ups and abilities that can be used to gain an advantage over the player's enemies. In X mode, the scoring system has been reworked to encourage close-range combat, making for a challenging but rewarding experience.