[4] The game requires the player to traverse through 24 levels, with basic platforming mechanics such as running, sneaking, jumping and climbing.

[3] The game also features a puzzle system in which the player is required to possess other creatures or issue instructions using commands to complete actions such as open doors or use switches.

Jason White of Allgame praised the developers for the faithful adaptation of Abe's Exoddus, stating "nothing was left out of this port", and expressed surprise that the game was "straightforward and easy to (play)" on a Game Boy Color.

Craig Harris of IGN noted "the graphics suffer heavily on the translation from the vibrant, rendered look of the PlayStation to the portable, pixelated rendition on the Game Boy Color.

"[3] Similarly Computer and Video Games stated the visuals are "unfair and frustrating", as "many of the levels require a super human level of visual skills...trying not no squish little slugs which are only a few itty-bitty pixels high".