The gameplay is very similar to Elevator Action and Elevator Action EX. The player, as Dexter, runs through different levels via elevators, elevator shafts, small cars, ledges, and doors while battling robots with an assortment of weapons. Three different Dexter suits are available, though they have no effect on gameplay. Each stage ends with the player facing a line of enemies.
Jeff Gerstmann of GameSpot gave the game a 6.9/10 in his review, complimenting it for its use of classic Elevator Action gameplay.IGN editor Marc Nix gave the game a 7/10, praising the game's improvements to the original, such as the added puzzles and life bar, but criticizing the game's lackluster stage endings.