The game's primary innovation—and most polarizing feature—is its health system:
: Alcohol and food consumption fill "Intoxication" and "Gut" meters. Getting too drunk causes the screen to blur and controls to wobble, while eating too much leads to loud, uncontrollable flatulence that can alert enemies. Redneck Rampage
: The arsenal is thematic and creative, featuring a crossbow that fires dynamite-tipped bolts, a sawblade launcher , and a literal Alien Arm gun. However, reviewers often note that weapon damage can feel inconsistent. Visuals and Audio Review: “Redneck Rampage” (Computer Game) - PekoeBlaze a sawblade launcher
: There are no traditional medkits. Instead, Leonard restores health by eating "Cow Pies" (Moon Pies) and drinking "Cheap Ass Whiskey" or beer. Redneck Rampage