In this addition to the Medal of Honor franchise, you play as three different characters from previous Medal of Honor games: Lt. James Patterson from the original MOH and MOH: Frontline, Sgt. John Baker from MOH: Allied Assault, and Lt. William Holt from MOH: European Assault, in three different campaigns across Italy, Belgium and Holland. Each campaign consists of different missions that involve capturing or destroying certain objectives.
This World War II-themed shooter features a large amount of unlockable items like new uniforms as well as the ability to complete any mission or campaign on varying difficulty levels. An online multiplayer option allows up to 8 people on Ad Hoc mode or up to 32 people in infrastructure mode. Game modes include Hold the Line, Deathmatch and Capture the Flag.
In the German version, two swastikas on the mission and loading screen were replaced with a national identification cross. Additionally, the unlockable uniforms have no reference to the SS anymore, the words "Nazi" and "töten" (the literal translation of "kill") are not in the game's vocabulary and the trailer for Need for Speed: Carbon - Own the City was removed.