They Bleed Pixels is a Lovecraft-inspired action platformer with retro pixelated graphics. The player takes on the character of a young girl sent to a private school for troubled youth, whose dark nightmares are intruding on the real world, slowly changing her into the demon of her dreamscapes thanks to a cursed book. In her dreams, the girl must fight dark creatures and collect loose pages of the book to be freed from her curse.
The game is a high-difficulty platformer with beat'em-up style combos in combat. While the player can only take three hits per life, lives are unlimited, and by defeating enemies and collecting globs of blood, the player can create checkpoints to restore damage taken as well as continue the level after an inevitable death, rather than starting over from the beginning. While a gamepad is not required, it is highly recommended by the developers due to the fast reflexes needed to play through the game.
They Bleed Pixels also includes unlockable artwork and special levels, and supports Steam achievements and trading cards.