Thrust, Twist + Turn is a fast-paced racing game using Twilight 3D's 3DGE engine. There are eight tracks in total, with a futuristic atmosphere and different themes: Egypt, the city, a hurricane path in the sea, a rush through the clouds... complete with jumps, corkscrews and loops. There are no invisible side edges to the tracks, players can push your opponents into oblivion.

The standard racing modes are present: arcade, time trial and network multiplayer. Players can unlock a championship mode after completing the arcade mode and a shadow arcade mode with reversed tracks upon finishing the championship. The official patch adds a graphical track editor.