The story follows Leonard and his brother Bubba in the fictional town of Hickston, Arkansas. After aliens invade and kidnap their prized pig, Bessie, Leonard must fight through hordes of neighbors-turned-clones to get her back. The goal of almost every level is unique for the genre: instead of finding an exit door, you must find Bubba and whack him with a crowbar to advance.
: There are no traditional medkits. Instead, Leonard restores health by eating "Cow Pies" (Moon Pies) and drinking "Cheap Ass Whiskey" or beer. Redneck Rampage
The game's primary innovation—and most polarizing feature—is its health system: The story follows Leonard and his brother Bubba