The game itself includes of three separate rounds. At the start of each round, the dealer randomly loads the mystery shotgun with red live bullets and blueish-green empty shells. The player can choose to shoot the opponent or themselves; choosing the final option with a blank in the shotgun chamber skips the dealer's turn and gives the player another opportunity.

Both the Dealer and the player receive the same number of charges from a complex machine scattered throughout the room, beginning with two charges on round one, four on round two, and five on round three, each of which will revive the player or Dealer if shot with a live shell. A round is won when the player depletes the Dealer's charges; it is lost when the Dealer depletes the players.

During rounds one and two, the player and Dealer can respawn forever; however, the gun machine's wiring is severed at the start of round three, forcing the player to restart from the beginning. On rounds two and beyond, the dealer's hands are out items along with each fresh load of cartridges, giving each party an advantage of two during round two and four during round three.

The Buckshot Horror Survival Game's gameplay mechanics are made to keep players on the edge of their seats, and its simple controls make it easy to navigate through the unsettling landscapes. Every confrontation with the terrifying animals is a test of reflexes and strategy, requiring players to keep one step ahead of their pursuing enemies and precisely target their shots to make every shot count.

But Buckshot Evil Scary Room Escape is more than just a monster hunt—it's also a quest to reveal the sinister mysteries that the town's surface conceals. Players will discover a compelling story full of twists and turns as they investigate the abandoned buildings and lonely streets; each new detail is more terrifying than the last.