Northwood Rescue is a heavy rescue simulator taking place in Costansin, Northwood County. A small town with a large transit highway running through it. In this game, you're the owner of a small heavy rescue business, named Northwood Rescue.

In the game, you get random calls of crashes, or incidents that have happened on the highway, and you have to think smart and bring the correct truck and equipment with you. When you're at the scene, you can use different tools like cones, barriers, and other things to block off, or redirect traffic. (you can even use a crane to lift up barriers in the road to make another lane available) the less traffic is blocked, the more you get paid.

You have to think smart about getting vehicles unstuck, or out of a crash, because if you don't pull them right, they might fall down a cliff, or if it's a gas truck, it might even explode. If you pull to hard with a winch, you might snap it, and have to pay for a new one. (don't worry, Kevin will give you a loan if you don't have enough. Just don't get on his bad side!)

With your money, you can upgrade your trucks, buy new trucks, hire staff, or pay for repairs and even expand your headquarters.