This game was Sega’s last pinball game; production would be continued by Stern Pinball, the successor to Sega Pinball.
The amount of coarse language depends on the machine’s language rating. If the language switch is on PG-13, the game will use mild language (and like the show, all strong expletives are bleeped out). When the machine has the language rating is on G, the language will be watered down, so it can be acceptable for family-friendly places (i.e. When the “Kill Kenny” Hurry Up mode is successfully completed, Kyle will say “rats” instead of shouting “you bastards!”). The family mode will also alter the match sequence which features Terrance & Phillip belching instead of farting. The prototype ROM set for the game had all expletives unbleeped.
Inlanes light up and can start Super Fart Bumpers. Outlines can be lit for special. There are three standard bumpers, the left lane is a shot through the bumpers. Targets are located on each left lane entrance side. There are also 8 townsfolk targets. Minor characters include Mr. Hankey located in front of the toilet. Major characters include Chef, a large rubber Kenny, Kyle, Stan, and Cartman. There is also a Cartman hole. Scoreboard includes various character graphics and sounds.