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All of Ram Rush's playthroughs are trials of survival, rather than predetermined endings. All bets are off when that number looms over your character.

Your character automatically charges forward ceaselessly. Your task is simply to switch lanes—left or right—to collect power-ups, dodge hazards, and smash through manageable obstacles. Every lane ahead holds either an opportunity or a threat. To overcome lesser green obstacles, use your existing power, while severe red barriers need you to reverse direction quickly. Collecting "+1" meat boosts your stats, while "-1" spikes drain your precious power. Stronger people have greater choice to pick their path, yet compulsively seeking every object might be dangerous. Each run becomes a journey of incrementally building strength to go further.
Use the 'A' key or left arrow to go left and the 'D' key or right arrow to move right on the PC. Mouse dragging provides seamless lane change. On touch devices, swiping is the only way to change direction. Press 'P' or 'Esc' to pause the game whenever you need to catch your breath. Timing your lane changes correctly can preserve a streak of accumulating momentum. Players gradually develop a sense of rhythm that balances running speed with the speed of their thought process.