On a Tetris-like board the player drops blocks containing various things including Ghosts, Blocks, Pac-Men, and one Fairy to the ground. The objective is to not let the blocks overflow, let Pac-Man eat the ghosts, and make lines to shorten the on blocks on the board. When Pac-Man eats a ghost, the Fairy Meter goes up. Once full, in the Pac-Man Bar the Pac-Man icon disappears and changes into a fairy icon. Once on board, when it hits something, it waves its wand and several lines below of anything disappear. Once the fairy disappears, the score bonus is given, and play continues. Pac-Attack can also be played in 2-player mode. Player 1 must eat Blinky, while Player 2 must eat Sue, the purple ghost from Pacmania.