The game has several modes to play in, depending on where you're from. In Survival mode, your aim is to keep playing as long as possible - a never-ending stream of balloons appears at an increasingly fast pace as you move up levels. Alternatively, you can choose from two other game modes: Puzzle and VS Mode.
Puzzle mode is all about clearing a set number of balloons within a limited time frame, while VS Mode lets you compete against the computer or another player in a split-screen duel. Each character has special item balloons that can be used to gain an edge during gameplay.