Psycho Pinball

There are four differently themed tables: Wild West (American Old West), Trick or Treat (Halloween), The Abyss (Caribbean underwater), and Psycho (an amusement park). While the first three are normal tables, Psycho broke new ground; it is connected to the others by activating certain jumpers, then launching the ball into one of the tents. The ball continues on the other table, returning to drop from the tent in Psycho when it drains. It is also the only one with a spring ball launcher and no multiball (presumably because of the potential for one of the balls to transition between tables).

Wild West is an open table with few obstacles; this makes it difficult to achieve high scores, unlike Trick or Treat, that is a much more enclosed table and has more ramp multipliers. The Abyss is the only one with two levels of play, and the multiball is usually reduced to two balls. To activate the multiball, the player has to trap a ball in one of the vent holes, and then knock it out of its trajectory when it is being thrown from one vent to another. It is possible, but tricky, to trap additional balls in the vents to use in the multiball.

Reviewing the Mega Drive version, Mean Machines found the scrolling to be faultless, and the graphics to be crisp. GamesMaster found the game to be addictive and fun.

Reviewing the DOS version, CNET found the game had good ball control, but disliked that only a third of a table could be seen on-screen.