Pigskin 621AD is a sort of dark-ages-medieval-fantasy-style combat rugby game in which two five-player teams take to the field to compete in a game of "footbrawl," all the while dodging rocks, trees, pools, pits, furniture and other obstacles. Each player controls the team captain of one of the teams. The original coin-op cabinet was set up with two joysticks and one screen, with both players sharing that same screen; if either player's team captain falls off the screen, he is quickly able to catch up and get back into the action.

A version for the Sega Genesis, retitled Pigskin Footbrawl and endorsed by coach Jerry Glanville, was released by Razor Soft