The player must keep track of hunger, thirst and fatigue meters in addition to the traditional Health Points, which require the accomplishment of everyday tasks such as eating, drinking, and sleeping, as well as hunting, gathering, and finding a place to rest.

Many elements of the environment can be picked up and collected, although most objects serve no purpose in their original form.

Foods, such as meats, can go rotten in just an in-game day, but the player can merge cooked meats with flora identified as spices in order to preserve them; although there are about 15 set types of flora in the game, their effects when eaten get switched around in every new game.

Interaction with other characters is scarce or entirely absent, depending on how the player chooses to progress throughout the game.

Futago Shima ("Survival Kids 2: Escape the Twin Islands") was released on July 19, 2000.