The 150-foot-tall (46 m) ride consists of a series of roller coaster elements including seven inversions ranging from a zero-g roll to interlocking corkscrews.

In 1999, Six Flags Great Adventure spent $42 million on new attractions including a prototype Floorless Coaster, Medusa, developed and built by Bolliger & Mabillard.

According to a statement issued by the park, the employee "deviated from safety training procedures and walked underneath the ride".

[8] In 2015, the coaster received a brand new color scheme of blue track and orange supports for the opening of Twisted Colossus.

After the diving loop, the train passes the station and goes through a zero-g roll, where riders experience a feeling of weightlessness.

[12] Robert Niles of the Los Angeles Times shared a similar sentiment, stating "Scream creates an effective illusion that you are alone, flying above the track" but questions the ride's location on a former parking lot.

Niles concluded by stating "I feel a little neglected as I shuffle off the otherwise exciting ride", referring to the lack of theming or storyline.

[14] Scream has never featured in Amusement Today's annual Golden Ticket Awards top 50 steel roller coasters.

The mirrored clone at Six Flags Great Adventure peaked at position 16 in its debut year before ranking a further six times in the list.