Action Pachio is a side-scrolling platform game for the Super Nintendo where players assume control of a white character named Pachio. The objective is to navigate through various levels while collecting coins, which grant extra lives upon gathering one hundred. The game features a health bar with three color indicators, a time limit, and a score system that can reach up to 99 million points. Transition scenes between levels advance the storyline.
The player takes control of a white Pachio and tries to make his way through all the side-scrolling levels. In between each level is a cut scene that updates the story for the player. Players can collect coins in the game; collecting 100 of them results in an extra life. They are also given a life bar with three different colors (symbolizing how `healthy` the character is), a time limit, and a relatively generic score indicator that goes up to 99 million points.