Extreme Downhill puts the player on a mountain bike racing down slopes at full speed, dodging obstacles and seeking shortcuts among alternate paths, within the extreme-sports fad arcades adopted during the 90s and 2000s. The controls are designed for short, very physical sessions in front of the cabinet. It's one more piece of that wave of risk-sports games that sought to renew the arcade sports genre with a more youthful, adrenaline-fueled aesthetic than traditional simulators.

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