The game consists of four main levels: the torture chamber, the rack room, the haunted house hallway, and the graveyard. If enough score is accumulated by completing these levels successfully, a final bonus round is unlocked, which consists of a target practice where objects traveling at increasingly high speeds must be shot. Between each level, a bonus score can be obtained by winning at the slot machine.

The first two levels feature seemingly human NPCs restrained by medieval torture devices. The player must discover how to kill these characters in the shortest possible amount of time. Although it is possible to shoot them to death, this process is inefficient as direct shots only result in chunks of flesh being blown away, leaving the victims alive. Instead, the challenge lies in finding ways to activate the torture devices, resulting in quicker and bloodier deaths.

After the first two levels, the game transitions into a more traditional shooting game; the player must kill paranormal creatures, such as zombies, ghosts, and mummies.