Throughout her journey, Juliet is accompanied by her boyfriend, Nick, who is a disembodied head hanging from her waist. Juliet will die if she loses all her health or fails certain scenarios, though, in the case of the former, Juliet may be able to come back to life by winning a roulette spin. The maximum number of lollipops Juliet can hold depends on the difficulty setting. Throughout the game, Juliet can also collect lollipops which allow her to recover health. As the game progresses, Juliet will also receive the Chainsaw Dash, which allows her to charge with her chainsaw and fly off-ramps, and the Chainsaw Blaster, a long-range weapon used for blasting enemies and obstacles. Sparkle Hunting is achieved when Juliet kills three or more zombies simultaneously or in quick succession and rewards platinum medals that can be spent on other goodies such as unlockable costumes, music, and artwork. These medals can be spent at Chop2Shop.zom stores found throughout each level where Juliet can purchase new moves and combos, as well as items that can increase her stats. Gold medals can be earned by defeating zombies, smashing objects, and rescuing classmates.

Zombies can be beaten into a groggy state, during which they can instantly be killed with a chainsaw attack. Juliet can use melee attacks, dodges and high and low attacks with her chainsaw. Lollipop Chainsaw is a hack-and-slash video game in which players play as Juliet as she fights through hordes of zombies.

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