As the story goes a couple of factory workers are working late one night when they discover that monsters are coming up out of the floors. Using corresponding tubes of colored paint they endeavor to eliminate monsters before the factory is overrun.

The objective in Super Monster Painter Extreme is to control two characters working behind conveyor belts (one vertically, one horizontally); when they jump onto one of three tubes of colored paint, the paint squirts out into the main factory floor where monsters are appearing. If a monster of the correct color is hit with the paint, it is eliminated. Each wave of monsters becomes more complex and intense. Monsters will appear with secondary colors and the primary colored paint tubes will need to be mixed by correctly intersecting the paint streams. The paint tubes can be rearranged by shifting either of the conveyor belts.

After completing wave five you will be granted a power-up that lasts a few seconds; the effect of the power-up will vary. The power-up is activated by the console in the bottom left of the screen. The amount of monsters on the factory floor are measured on the right hand gauge; when it fills up the game is over.

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