God Save Birmingham is a unique zombie apocalypse survival game set in the 14th century, presenting players with a vivid and historically rich environment. In its Early Access version, players can engage in a sandbox mode that allows exploration of a portion of the town, with plans for a full town experience and campaign mode in the future. Players must navigate through the chaos of a plague-inflicted Birmingham, utilizing wits and survival skills against the undead menace.

Survival mechanics are at the core of the gameplay, where players forage for supplies, craft tools and weapons, and hunt for food, water, and shelter. The game emphasizes physics-based mechanics, encouraging creative problem-solving to escape from threats. Players can interact with the environment, such as barricading doors or using objects to trip enemies. With an immersive setting that reflects 14th century Birmingham, players are invited to explore markets, taverns, and historic architecture while battling the undead.