Players must cooperate to drive the truck through traffic as far as possible without crashing, avoiding parked cars and oil slicks.

Some enhancements included making the ladder end of the truck a separate motion object as well as adding more sounds and the ability to add a second steering wheel.

"[9] A dedicated cabinet that was a single-player mode only of the game titled Smokey Joe was made and released in the same year as Fire Truck.

Allen said that this was created as operators said the Fire Truck cabinet took too much floor space for the amount of money it was earning.

[11] Fire Truck was included in Atari 50 (2022) compilation game for Nintendo Switch, PlayStation 4, Steam, and Xbox One.

[13][page needed][9] In a retrospective review, Anthony Baize of AllGame found the graphics weak but no better or worse than any other contemporary game of the period and commended the game for its co-operative gameplay and finding it to be "a fun videogame from the earliest stages of coin-op history"[14] While earlier games such as Pong Doubles (1973) had players team up for a common goal, Fire Truck was designed around the core concept of two players working together for a co-operative play.