Rockstar Games presents Table Tennis simulates the popular table tennis sport. Choosing one of 11 characters (additional players are unlocked during play), each with their own strengths and weaknesses, the player competes against either the computer or another player. The game offers all the tricks and moves of the sport, including various spins and powerful smashes. During gameplay, the player builds up a meter providing powerful focus shots.

There are several game modes, like the exhibition mode (a simple one-on-one) or timed tournament. There's also a "Table Tennis Network" (only on the Xbox 360) where players can engage one another or watch other players completing.

The Wii version offers 3 control modes: Standard, Sharp Shooter and Control Freak, offering increasingly complex control over the player providing more freedom over the direction of the hits and the movement of the players, using the remote and optionally the nunchuck.