Super Meat Boy Forever is an auto-running platformer where players guide Meat Boy through hazardous levels filled with saws and enemies. The touchscreen controls are simplified to a jump button and a dash attack, requiring precise timing to navigate the procedurally generated stages.

The core gameplay loop involves sprinting through short, challenging levels to rescue Bandage Girl. Each attempt requires quick reflexes to wall-jump, slide under obstacles, and chain attacks to maintain momentum. The game features over 7,000 level variations across different themed worlds.

Progress unlocks new characters with unique abilities. The difficulty is high, emphasizing trial-and-error learning through frequent, instant restarts after failure. The mobile version is designed for short, intense play sessions.