The gameplay is similar to Marble Madness, in that the player controls a ball via keyboard, moving it along a course while trying not to fall off the screen.

On occasion, the player has to push other balls down slopes and holes or onto rails to continue rolling along the path.

The side-rail is introduced in level 3, requiring the player's ball to roll on its side along two rails which are aligned vertically one above the other.

An Adrenaline Vault review by Bob Mandel described the game's graphics as "heavenly", particularly admiring the "exquisite detail".

Concurrently, several studios in China published and marketed copies of the program under different names, including Ballance: The Return.