Tennis Elbow 2006 allows players to compete in a World Tour of 125 events against 300 players. Both the entry and Champions' Race ranking systems are incorporated - the former covering the last 52 weeks and the latter being fixed over a single calendar year.

Players can be defined as volleyers, defenders, punchers or varied, with definable kit colors and playing abilities. As you play the game, your player's ability improves - by more if you lose. Assign these points for faster and more accurate serves as well as faster running and bigger jumps.

Single matches can be two against one, as well as the more conventional singles and doubles. Network and internet play is offered. There are seven distinct court types - clay, grass, hard, blue-green hard, synthetic, indoor hard and indoor synthetic. Action replays can be viewed in slow motion, fast speed, and rewound.