After spending a bit of time with an early version of Dr. Mario World, I don’t have an exact answer just yet. But at the very least, it’s clear that Nintendo isn’t approaching it like an easy cash-grab. The gameplay has been optimized for one-handed touchscreen use, as you’d expect. And even though your main goal remains the same — match up three similarly colored pills and viruses to clear them out — the company wasn’t afraid to change things up a bit elsewhere.

Now, instead of having viruses fall from the top of the screen, Tetris-style, they rise up from the bottom. That seemed like a confusing flip at first, but after playing a few rounds, it was clearly a smart move for ergonomics. We typically cradle phones from the bottom in our palms. It would simply be tough to quickly move objects from the top of the screen with your thumb, especially with larger devices like the iPhone XS Max. Once I got into the flow of Dr. Mario World, dealing with pills rising up felt like second nature. And, as you’d imagine, dragging pills with my fingers felt far more fluid than hitting a directional pad. There were a few instances where I wanted a bit more control to nudge pieces into tight spots, but that’s a bit of finesse I’ll probably learn over time.

As for upgrades, Dr. Mario World will give you items and skills that can help you clear out stages. Koopa shells and bombs within some levels will also give you a leg up. The game only gives you a limited number of pills per stage, so part of the puzzle is figuring out the most efficient way to clear things out. And this being a mobile title, there’s also a stamina meter that’ll limit your gameplay, which will recharge over time.

You can, of course, buy more time, pills and power-ups with a premium currency called diamonds. I didn’t have a chance to test out the purchasing mechanics but based on my demo, it seems like you’d be able to play long enough to last a typical commute without having to pony up real money. You can also purchase new characters with diamonds and coins — yes, even Bowser has a doctorate now. Each new doctor will have special skills of their own: Yoshi, for example, can eliminate three random items.