In the garage, the player modifies the truck's tires, suspension, and acceleration-to-speed ratio to account for terrain surfaces such as mud and grass. The finder directs the truck towards the checkpoint and can call the helicopter to put the truck back on the road.

: Tournament menu Checkpoints, multiple hidden shortcuts (like a broken bridge), and objects (such as cacti, road signs, and fences) commonly appear in the tracks. : Yucatan Adventure description In Tournament, the player participates in a custom series of events with computer opponents. Circuit has five short race tracks, and Rally has long exotic tracks themed after Arizona, : Arizona description the highlands, : Highlands Rally description and the Yucatán. Drag focuses on traditional monster truck events set in arena and stadium venues like BC Place : BC Place description and Tacoma Dome : Tacoma Dome description the player qualifies to participate in knockout races that involve jumping over rows of cars. Monster Truck Madness offers twelve monster trucks, including Bigfoot, Grave Digger and Snake Bite, and tasks the player with beating computer opponents in four single-player modes: Drag, Circuit, Rally, and Tournament. The player driving Bigfoot on A Crazy Eight. Terminal Reality developed another off-road truck racing game, 4x4 Evo. Monster Truck Madness was followed by a sequel, Monster Truck Madness 2. It is the first entry in Microsoft's Madness series of racing titles, which included Motocross Madness and Midtown Madness. Monster Truck Madness received a massive following, and video game publications generally praised its gameplay, graphics, and physics. The developer hired announcer Armey Armstrong to perform sports commentary. Terminal Reality designed Monster Truck Madness to accurately simulate monster truck events and replicate the titular off-road vehicles. Online multiplayer is accessed with a modem, a local area network (LAN), or TCP/IP. In the garage, the player modifies the truck to account for terrain surfaces. Checkpoints, multiple hidden shortcuts, and interactable objects commonly appear in the tracks. The game has twelve monster trucks and tasks the player with beating computer opponents.

It was released in North America on August 31, 1996. Monster Truck Madness is a racing video game developed by Terminal Reality and published by Microsoft.

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