From the Super Mario Wiki
Retrieved from "https://www.mariowiki.com/index.php?title=Tiptoe_Titan&oldid=2582579"
The player must turn the system left and right to make Wario's feet go up and down so he can let the people go by. If they get crushed by Wario's feet or run into them, they pass out and the player loses.
Changes in WarioWare Gold
The gameplay is largely the same, though with a graphical update and different objects in later levels.