Quarth is a combination of Tetris-style gameplay and a fixed shooter in the Space Invaders tradition. The player's focus is on falling blocks, and the action is geometrical. Rather than arranging the blocks together to make a row of disappearing blocks, a spaceship positioned at the bottom of the screen shoots blocks upwards to make the falling block pattern into squares or rectangles. Once the blocks have been arranged properly, the shape is destroyed and the player is awarded points based on the shape's size. The blocks continue to drop from the top of the screen in various incomplete shapes. As each level progresses, the blocks drop at greater speed and frequency. There are also various power-ups which could be located to increase ship's speed, among other bonuses.
The game continues until the blocks reach the dotted line at the bottom of the screen, whereupon the player's ship is "player's ship is "quarthed", crushed flat.
The Arcade, MSX2, and Famicom versions had two different 2-player modes: a split-screen mode with Player 1 on the left and Player 2 on the right, and a cooperative mode where both players shared the same screen.
For the Game Boy, multiplayer requires the Game Boy Link Cable with each player able to view only their fields on their own Game Boys.
In Japan, Game Machine listed Quarth on their December 1, 1989 issue as being the third most-successful table arcade unit of the month.1 Block Hole was a hit overseas in Europe, particularly the United Kingdom and Italy.2
It has been generally acclaimed by many online reviewers, though Nintendo Life gave the Game Boy port on the 3DS Virtual Console a 6/10.
"Game Machine's Best Hit Games 25 - テーブル型TVゲーム機 (Table Videos)". Game Machine (in Japanese). No. 369. Amusement Press, Inc. 1 December 1989. p. 29. https://ja.wikipedia.org/wiki/%E3%82%B2%E3%83%BC%E3%83%A0%E3%83%9E%E3%82%B7%E3%83%B3 ↩
"International News: London Preview". RePlay. Vol. 15, no. 4. January 1990. pp. 140, 142. https://archive.org/details/re-play-volume-14-issue-no.-4-january-1990-600DPI/RePlay%20-%20Volume%2014%2C%20Issue%20No.%204%20-%20January%201990/page/140 ↩