Level 10 is a cooperative card game. Players are not competing, but striving together to help Izzy play through all 10 levels in each of the 5 worlds.

Players will play cards one by one to a 5 by 10 grid to (hopefully) complete the game. Each world Izzy visits will be represented by the different rows of cards on the table.

To win, players must play all 40 Level Cards and all 10 Reset Cards to the grid. If a player cannot play a card on their turn, the players (and Izzy) will lose.