Xtreme Tankz Madness II is a top-down tank action game with tactical elements. There are five different tanks at the player's disposal; each has a primary weapon with unlimited ammunition that can be used for standard and plunging fire, and a special weapon (such as minigun or rockets). During the game, the player will be able to upgrade speed, armor, and weapon systems of the tanks.
There are three game modes: Campaign, which requires completing all the levels to get access to the most powerful tanks; Arcade, an online competition with other players; and Skirmish, a training mode which allows the player to customize all battle conditions. There are 80+ levels in the game. Enemies usually consist of tanks, which possess various weapons, including mines, shock waves, etc. They can also retreat to their bases and repair themselves when damaged.