True Pinball is an enhanced remake of the Digital Illusions' 1995 Amiga/DOS game Pinball Illusions, featuring the same four tables (Law 'n Justice, Babewatch, Extreme Sports and The Vikings, the latter originally added as a DOS exclusive) with graphical and audio upgrades to suit more advanced hardware. The major difference between True Pinball and Pinball Illusions is the addition of pre-rendered 3D modes - whereas Pinball Illusions only allows you to play the tables from a top-down perspective, True Pinball renders them at an angle, simulating depth (and a more realistic perspective for the user) and reducing the amount of scrolling needed to see the entire table.
The game can be played either in a low resolution 3D mode, a high resolution 3D mode or in a similar 2D mode found in the original game. Other tweaks include altered music, more speech and altered menus.
Though the tables are more detailed in the Saturn version, it is still considered to be out-classed by the DOS version of Pinball Illusions, primarily due to the fact the maximum screen resolution there is 800x600, resulting in sharper graphics. Also, as the tables were not originally designed for 3D, many elements, particularly towards the top of the screen, are obscured by scenery. Also scrolling, which is not always desirable by the user, is not completely eliminated (unlike Digital Pinball: Last Gladiators, released for the Saturn a few months prior in 1995).