The game sees players taking on the role of a small animated cube of meat named Meat Boy who must save his girlfriend, Bandage Girl, from the evil Dr. Fetus. Players must use sharp reflexes to guide Meat Boy to the end of each level, using his wall clinging ability, while avoiding buzzsaws, salt, and other various death bringing obstacles. The game will contain about 350 levels, which are split across various chapters. Levels in each chapter can be played in any order, but a certain number of levels need to be completed to access the boss stage. Completing a level within a certain time will earn an 'A+' grade which unlocks a harder alternate level. In addition to these, there are hidden warp zones featuring retro styled bonus levels with three life limits. Clearing certain warp zones or collecting hidden bandages unlocks guest characters from indie games. There is also a replay function, showcasing failed attempts simultaneously.

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