His health was measured by a separate meter it was depleted by enemies or when his air meter had run out, and it is recharged by eating fish, 'singing' to clams, or, later in the game, singing to special statues or crystals called 'Glyphs'. If the 'air meter' ran out, Ecco would lose health rapidly-this represented drowning. Additionally, Ecco, being a mammal, has to surface periodically for air, or else find an air vent. The same button is used for echolocation holding it down would cause the song to return, generating a map of the area.

Two features of the game played on actual dolphin habits one button causes Ecco to sing, allowing him to speak with other cetaceans and interact with certain objects. Players can perform a purely aesthetic spin in the air when jumping out of the water. Swimming could be made progressively faster by tapping a certain button, and the speed could be maintained by holding it down. Attacking enemies is accomplished by making Ecco ram into them at high speeds. The gameplay is essentially side-scrolling, with horizontal, diagonal and vertical movement. 3.6 Sonic's Ultimate Genesis Collection.

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