Papa Sangre is a thriller/horror game based only on binaural audio. Headphones are required to play. The player moves using foot buttons displayed on screen for each individual step and turns using a built in accelerometer or swiping across the wheel on the top-half of the screen. If the player taps each button too fast, the character will fall. While traveling through the world, various sound effects are heard to guide the player. Using binaural audio, the player can determine which direction or how far or close objects are. There are a total of 25 levels to complete as the player tries to survive. The player must collect musical notes and reach the exit to proceed.