Pierre: Insanity Inspired tells the story of a cat with an eye for art, who has to run around circular platforms and acquire items to finish his masterpiece. Items can only be collected when they align with the right symbols on the platform, indicated by a bright glow around it. You lose health whenever you grab an item while standing over the wrong sector, or when you touch a spiky ball by accident.

Items and spiky balls can be pushed away with the press of the down arrow key or D button. There are six levels to play in total.