The game uses standard pinball mechanics with additional keyboard shortcuts for items and interactions:

: Use these to equip or trigger items (e.g., blindfolds, gags) purchased from the shop.

: Use coins to purchase extra balls, room entries for specific characters, and sexual positions.

: Hit markers and bumpers to trigger interactions, such as rotating the elf character or activating gadgets (e.g., massagers, "oppai slappers").

Note : The "Green Elf" (Android) DLC often requires a separate currency. Elf Girl Pinball Review - GameGrin

: Speed up the filling of the Lust/Orgasm meter or control the turret pinball in certain modes.

: Control the left and right flippers to keep the ball in play.

: Scoring points and filling the character's orgasm meter rewards you with coins. Repeatedly filling the meter increases the reward exponentially (e.g., 200 coins for 10 orgasms).