To start playing, the player first selects a vehicle and a level. The vehicles range from cars and trucks to bikes and even shopping carts, with each vehicle offering a different level of speed, stability, and durability. The levels are varied too, from simple ramps and slopes to more complex obstacle courses.

Once the player has chosen their vehicle and level, they then set up the crash by selecting the speed and angle of their vehicle. The player then watches as their vehicle hurtles towards the obstacles, crashing into walls, barrels, and other objects, before finally coming to a stop. The more damage and destruction caused during the crash, the higher the player's score.

In addition to the main game, Ragdoll Turbo Dismount also features a level editor, allowing players to design their own levels and share them with others. The game also includes a replay function, allowing players to watch their crashes over and over again.