The goal is to reach a concert with a ticket for each passenger in the car, fighting off all enemies along the way. Achieving specific tasks (kills, running other cars off the road) earns money that can be spent on a variety of things in the shop, such as new weapons or upgrades for the car or passengers. Each passenger can carry one weapon and one (usually single-use) item, and the driver cannot attack. Passengers will automatically melee attack adjacent enemies, but ranged weapons must be manually aimed using the mouse. Deceased passengers will need to be replaced down the road. Death Skid Marks is a unique blend of car combat action and roguelike elements.