Shin Megami Tensei Pinball: Judgment takes place in the Devil Summoner setting, with the basics of a pinball game. However, elements such as demon summoning and fusion are also included. There are 70 demons included in the game, and these demons assist the player in scoring for higher marks. The player also begins the game with companion demons such as Pixie, Knocker, Nekomata and Angel. As with any pinball game, the game is over when all pinballs are lost. The player may continue the game with all demons retained.