Rampfight features seven balls that can be flung up a ramp into several holes on the top with a different score, similar to Ski-ball.
In Story Mode, there are a total of 135 unique levels which the player has to complete.
In Obstacle Mode, there are several obstacles on the ramp which have to be avoided, such as ping-pong paddles swiping at the balls or a robot arm grabbing them and flinging them back at the player. The last ball standing in the round will be disqualified. However, the last surviving ball in the entire championship will win.
All-Star Mode is the hardest mode in the game, with various obstacles coming at the player non-stop and only one ball. If the player can survive for ten minutes on 10 rounds, they win.
In Free-Play Mode, the player has infinite lives and can resummon balls once they have entered a hole. They can also set the length and width of the ramp and how many balls can be on it.