Downhill Xtreme is a skateboarding game. The game is played from a third-person perspective and the board automatically gathers speed as the player rolls down the hill. To steer the player tilts his device left or right while the touch screen is used to break and tuck (which allows the player to go faster). By breaking while sharply taking a turn the player is able to do a drift turn, which allows him to quickly navigate tight turns.
The game consists of a career mode where the player gets to compete in events from all around the world. Each season consists of a number of events that must be completed to progress. For each of the events the player first gets to do a qualification where the has to beat the time before moving on to the main race where he gets to compete against three other racers for a share of the prize money. Depending on the position the player is rewarded with stars. To progress to the next season the player has to gain two stars in each event. There are also special events that only appear for a limited time. These are played online against other players.
The player earns XP and coins by playing the game. Coins are used to buy items, like different clothes, boards and head gear. The more XP the player has the more items are available. The rate of XP earnings can be increased by certain items or by hiring a coach. Coins can also be bought with real money through in-app purchases.