In Altetris, players arrange falling blocks to create complete lines. Clearing lines removes them and awards points, with more complex shapes offering higher scores.

Yes, Altetris allows customization of game speed, block shape variety, and other settings through the in-game options menu for personalized gameplay experience.

Scoring in Altetris increases with each line cleared, with bonuses awarded for clearing multiple lines simultaneously and using special blocks.

Altetris currently features single-player mode, but developers are considering adding multiplayer functionality in future updates based on user feedback.