The player takes control of one of the Turtles through a total of five stages, battling Krang and Shredder's minions along the way. Enemies include Foot Soldiers, Mousers and Roadkill Rodney among others. If a Turtle runs out of health, he is captured and the player must select another Turtle to pick up where he left off. If all four Turtles are captured, the game is over. One can regain lost health by collecting pizza or by winning the hidden mini-games scattered throughout each stage. There are a total of five stages, each with a unique end-boss: Rocksteady, Bebop, Baxter Stockman, Shredder, and Krang. The player can choose which stage to start the game on, but the game needs to be completed from Stage 1 to see the full ending.
In August 2008, Teenage Mutant Ninja Turtles: Fall of the Foot Clan ranked 15th place on Nintendo Power's list of the Top 20 Game Boy games of all-time.[citation needed]