Tilt-A-Kart is a battle course shaped like the arcade version of Mario. When drivers race on it, it occasionally
tilts to the side, causing all the drivers to slide around on it. Item boxes constantly fall from above, and fall off Tilt-A-Kart when it tilts. Drivers that fall over the edge will have to be rescued by Lakitu, and they will lose a balloon (Balloon Battle), lose the Shine Sprite (Shine Thief), or have their Bob-ombs explode (Bob-omb Battle).
