The game features two worlds: the Underworld of Fire and the Arctic Earth, which must be unlocked in order to reach the third, the Castle of Transylvania. According to the ghost in the game's introduction, by right the castle belongs to Elvira.[3] In their quest, players are able to use spells and weapons, as well as collect rune stones, food in order to replenish their health, and treasure chests. If they encounter difficulty in completing a segment of their current quest, the player may purchase information from a trader, found within each level, using rune stones as a currency.[3]
Elvira: The Arcade Game received generally favourable reviews. CU Amiga awarded the game 82% and praised the graphics, describing the game as "brilliant arcade fun," but lacking any longevity. Similarly, Amiga Power pointed to the high level of polish, but lamented the fact that there were "no gameplay surprises," and so awarded it 70%.[5]