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Players can select three, five or ten minute settings, or the Arcade Rules used in the original coin-op version of the game. In the three time-limited settings, play continues for the designated period of time, after which the cab automatically stops and no more points can be scored. Under Arcade Rules, the player starts with an initial time limit of one minute, which can be extended through time bonuses earned for quick deliveries. Console versions of the game also feature a mode known as Crazy Box, a set of minigames that feature challenges such as picking up and dropping off a number of customers within a time limit, bowling using the taxi as a ball, and popping giant balloons in a field.

The arcade version of the game includes sixty levels, and an additional "Original" stage was added for the console versions. Both levels are based in sunny coastal California locales, with steep hills and other strong similarities to San Francisco. The player has a choice of four drivers and their cabs, each of whom has slightly different attributes.

Manx TT Super Bike was influenced most by Sega's original motorcycle racing series Hang On. Although this port was developed by Pysgnosis, the game was originally developed by Sega's AM3 team for the arcades.

The House of the Dead is a rail shooter light gun game. Players use a light gun (or mouse, in the PC version) to aim and shoot at approaching enemies. The characters' pistols use magazines which hold 6 rounds; players are required to reload after using each magazine. A set of torches next to the magazine of each player represents remaining health. When a player sustains damage or shoots a civilian, one of their torches is removed. The player dies when all torches are lost. First-aid packs are available throughout the game which restore one torch. These are found either in the possession of civilians whom the player has rescued or inside breakable objects. Similarly, there are also special items located in breakable objects that will grant a bonus to whoever shoots it.