Bling Bling Gemstone features the same game play as Justin Oh's Toc Toc Woodman, but now players have more to aim for when they're swinging the axe.

To set up the game, players create a pillar of discs, with each disc having four colored plastic "gem" pieces slid into notches on its side. On a player's turn, the player takes two swings at the disc tower with a plastic pickaxe. If any gems or discs fall from the tower, the player must keep them. Red gems are worth 3 points, pink gems 2, and transparent gems 1, while the center disc is worth -10 points.

When no gems remain in the tower, the game ends and the player with the most points wins!