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More baroque in design than his prior two video pinball tables, Cutie Q places less emphasis on simple Breakout (Game)-esque mechanics and provides more methods of achieving high scores for players. While virtual drop target equivalents are still present, there are several new elements at play.
Cutie Q also displays an interest by Iwatani in broadening the appeal of video games. The table, while remaining a simple layout relative to what could be accomplished by even contemporary pinball machines, introduces several elements that would be further refined in 1980 into the seminal Pac-Man. The anthropomorphic faces on the board are the first "human element" exhibited in any Namco video game. The four pink ghosts, and their mechanical purpose as a means of racking up high scores, neatly graft conceptually to Blinky, Pinky, Inky, and Clyde. More tellingly, the previous attempt at a mascot-esque branding around Gee Bee as a character was replaced, in marquee art, with a round character depicted with an enormous, smiling mouth.
After the arcade release in late 1979, Cutie Q was included in the Japanese release of Namco Museum Volume 2 for the Sony PlayStation. The game's immediate predecessor, Bomb Bee, was also included as an Easter egg. These games were both omitted from the western release of Volume 2, where they were replaced by Super Pac-Man.