Super Meat Boy Forever expands on Super Meat Boy challenging gameplay, as well as main villain Dr. Fetus. Meat Boy and Bandage Girl's child Nugget has been kidnapped by Dr. Fetus and the couple must work together to rescue her. Both characters can kick and punch enemies and must avoid deadly obstacles to find Nugget. The control scheme uses two buttons. Levels are randomly generated based on the player's skill level using premade "chunks" created by the designers.