To play Hand-to-Hand Wombat, you are given a secret identity as Good Wombat or Bad Wombat, after which everyone closes their eyes. Good wombats build towers; Bad Wombats are trying to mess with those towers. After the timer runs out, everyone opens their eyes and discusses, debates, and votes on who they think a Bad Wombat is.

Hand-To-Hand Wombat is like thumb wrestling combined with Mind Wrestling. At the start of the game you are given a role card: you are either a good Wombat or a bad Wombat. The playing pieces are then spread across the table.

Everyone closes their eyes and manipulates the pieces at the same time. The Good Wombats try to build the three pyramidal towers in an orderly manner, while the Bad Wombats try to cause chaos by tearing down the towers or ruining the pyramidal.

When the timer runs out, everyone stops, opens their eyes, discusses what just happened, and votes to kick one player out of the game. The Good Wombats win if they successfully build the towers before too many of their teammates are eliminated. Otherwise, the Bad Wombats win.