Players control a United States Air Force pilot who was taken as a prisoner of war in Vietnam in 1972. The pilot must escape the prison compound by battling enemy soldiers with guns and grenades. Various power-ups are available that give the player use of various other weapons including a machine gun and flamethrower. Enemy vehicles such as a plane can also be commandeered.
The Sega Genesis version is single-player only, as the player now controls Captain Addis of the United States Army, who must rescue his fellow soldiers twenty years after he failed to retrieve his men during the Vietnam War. He must now re-navigate through the Ho Chi Minh trail in order to liberate his captured comrades-in-arms. Surviving soldiers are displayed by the dog tags that appear on the screen at the end of each level.