Turn It Around is comprised solely of games that you play by using the stylus to rotate a wheel on the touchpad. In some of the games, such as "Dragonfly Hunt" you turn it as fast as you can. Others, like "Sushi" you turn it slower or quicker, depending on what you're supposed to accomplish in that game. There are even a few like "Safe Cracker" that you have to think and stop turning to line different pieces of things up. In total, there are 24 different mini-games to play.
When you first start it, you're given the choice of 1 Player Turning, 2 Player Turning, or Options. In 1 Player Turning, you can choose Challenge Mode or Free Play Mode. In Challenge Mode, you have to beat each of the 24 puzzles once. In Free Play Mode, you can choose any of the puzzles and play them for as long as you want.
If you have a friend who also owns Turn It Around, you can choose 2 Player Turning, with both players being required to have their own cartridge to play. In 2 Player Turning, all of the games are multiplayer. You can play a 3 Round Gachi Battle where first one to win three randomly selected games wins, or you can choose a 1 Round Gachi Battle where whoever wins the randomly selected game wins, or Panel Attack where whoever claims the most panels wins.
Choosing Options from the main Menu allows you to change the degree of difficulty to Easy, Medium, or Hard. You can also change your character to either Pink or Orange, view your game rankings, or delete the data. When playing the games, if your score is in the top 180 scores, you get to enter your initials.