Medieval Madness also features two Trolls, animated targets that are normally concealed below the playfield, but can pop up during certain gameplay modes.

Much of the game's dialogue was written by Scott Adsit and Kevin Dorff, at the time members of The Second City in Chicago.

The rest of the male voices, including the various knights and the Wizard were provided by Scott Adsit and Kevin Dorff.

It was previously available as downloadable content for The Pinball Arcade until June 30, 2018, when all Williams tables were removed due to licensing issues.

Medieval Madness is also a playable table in the Xbox 360 and PlayStation 3 versions Pinball Hall of Fame: The Williams Collection, and was also included in the arcade game UltraPin.