Sega Water Ski is a action riding game, featuring immersive ski foot pedal controls, similar to Namco's Alpine Racer games.
The player can select from four characters (each with distinct characteristics), choose from one of three courses, and takes off to ride the waves. The goal is to jump and pull as many air tricks as possible and to make it to the finish line. The player must pass by the buoys on the track as they add time to the clock. Rank is determined on the points accumulated from doing various tricks often, which is key to becoming the top water skier on the track.