Abuse is a full-version action game designed for Mac, featuring an innovative control scheme that combines keyboard movement with mouse aiming. Players take on the role of Nick, navigating through a side-scrolling environment filled with mutants and other adversaries. The main objective revolves around defeating these enemies while utilizing an array of weapons, creating a dynamic combat experience that keeps players engaged.

In addition to combat, Abuse incorporates simple puzzle-solving elements, primarily involving switches that players must manipulate to progress through levels. This combination of action and puzzle-solving adds depth to the gameplay, making it not just a straightforward shooter but also a game that requires strategic thinking. The unique controls enhance the overall experience, offering a fresh take on the classic side-scrolling genre.