A player will lose if either of the middle columns in the top row is filled with a blob or rock. These rocks will only disappear if a player manages to pop a group of blobs that are in direct contact with the rocks. The number of rocks that falls depends on both the number of blobs popped and the number of consecutive chain reactions. If a player manages to set off a chain reaction with these blobs, rocks will fall on the other player's screen, filling it up and giving them less room to drop additional blobs. Once four or more same-colored blobs touch, they will disappear, and any blobs above them will fall down to fill in space.

The player must rotate and move the groups before they touch the bottom of the screen or the pile, so that matching-colored blobs touch from above, below, the left or the right. The gameplay is the same as seen in Super Puyo Puyo, with groups of two colored blobs fall from the top of the screen. Kirby's Avalanche pits players against either computer-controlled or player-controlled opponents.

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