From the Super Mario Wiki
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The player started out with three hearts and, using the mouse, had to bonk Kremlings that repeatedly peeked out of six hatches on a large wall. Many types of Kremlings would show up, such as Kritters, Krushas, Krunchas, Kuff 'n' Klout and even King K. Rool himself. Despite the variety, each Kremling was only worth 5 points. With every hit, the points were added up to a score counter at the bottom of the screen. Another counter located next to the score tallied any missed Kremlings. Donkey Kong and Diddy Kong, who would often appear along with the Kremlings, had to be avoided, as hitting them depleted one of the player's hearts. If all three lives were lost, the game was over, prompting the player to restart it.