A 2D version for the Game Boy Color was released in Europe in 1999, and in North America in 2000 as Carmageddon.

Like its predecessor, Carmageddon II was subject to criticism for the level of violence portrayed in the game.

The blood pack was later released in the United Kingdom in 1999, earning the game an 18 certificate.

[29] Hyper, on the other hand, gave the same port 85%, calling it "a success, and probably more suited to the Nintendo 64 than it ever was on the PC, as this is big arcade-style silly action.

[35] Carmageddon II (PC) was included in the retrospective book 1001 Video Games You Must Play Before You Die, which was originally published in 2010.