A remake of Manhole appeared in the first Game Boy Gallery, released in 1994, and Manhole was one of the cards included with purchase of the Nintendo e-Reader. Manhole was also unlockable in Game & Watch Gallery 4. More recently, Nintendo released Manhole as a DSiWare game on August 19, 2009.
In Super Smash Bros Melee and Brawl, Manhole is referenced in Mr. Game & Watch's down tilt.
There are four buttons available, each corresponding to an opening in the street on the game screen. The player must use the buttons to close the manholes before pedestrians accidentally fall through the open holes and into the sewers. When a pedestrian passes each manhole without falling into the sewage, a point is scored. When a pedestrian falls into the sewage a miss is scored. Three misses and the game is over.
- The maximum score is 999 and when the score reaches 200 or 500, all miss marks will clear and if no misses are recorded all points are awarded double score until a miss is made.