In Tecmo World Wrestling, players can choose from ten fictional international wrestlers, each with unique moves and abilities, allowing for varied gameplay experiences in one or two-player modes. The mechanics emphasize grappling and striking, with a focus on executing special moves and counters.

The storyline of Tecmo World Wrestling revolves around the competitive world of professional wrestling, where players aim to become the champion by defeating various opponents in the ring. The game features a tournament format, providing a structured path to victory.

Tecmo World Wrestling stands out with its innovative inclusion of a play-by-play announcer, Tom Talker, who adds a layer of excitement to the matches, despite his commentary being presented in text bubbles. This feature, along with its unique character roster, contributes to its nostalgic appeal among wrestling game enthusiasts.