The title was derived from the band Creedence Clearwater Revival's 1968 cover of the song Susie Q, which Iwatani was a fan of.

The player controls a set of paddles using a rotary dial, the objective is to score as many points possible by deflecting a ball against objects on the playfield[1] - these include colorful "Rainbow Block" formations, pink ghosts known as "Minimon",[1][2] spinners that slow down the ball and small yellow creatures known as "Walkmen" that appear when an entire formation of blocks is destroyed.

[1][2] The middle of the screen has a set of sad-faced rollover symbols, and touching them with the ball will instead make them turn happy[2] — lighting all of them up increases the score multiplier.

[2][1] Having the ball touch the bottom paddle will replace any cleared-out brick formations and increase the number of Minimon on the screen.

[3] It is the third game in the Gee Bee trilogy, and much like its predecessors was the result of a compromise with Namco, who was disinterested in creating pinball machines.

[11] The game was cancelled due to the impending rise of more powerful consoles, notably the Sega Mega Drive, with Dempa believing Ishikawa was proposing the port as a sort of joke.

[6] In a retrospective, Earl Green of Allgame noted the game's importance to the creation of Pac-Man with its colorful character designs.

[14] Although not directly related to the Gee Bee trilogy, the game's 26th stage is designed after a Rainbow Block Cutie Q.