The single player campaign is called the Clash of Sponsors and sees players choose a team from one of the 12 factions to play for a sponsor with different perks and bonuses and beat bosses in the form of another team with a super star player. The game is turn based and features strict 2 minute timed turns as well as a time bank of seven and a half minutes which players can use if they need extra time on a particular turn.

Cosmetic items are split into different tiers of rarity common, rare, epic and legendary with legendary items being single-use. An in-game currency called Warpstone, which is earned by playing games or can be bought as a microtransaction, can be used to buy cosmetics such as helmets, skins or shoulder pads. Players can also pay for the Blood Pass at the start of a season to instantly unlock the reward faction and also additional rewards as players progress through the tiers but these cosmetic items do not have any bearing on the actual gameplay.

On completion of the pass a new faction is unlocked to play with. The game contains a new feature for the Blood Bowl series in that it introduces a battle pass system called 'Blood Pass' which take place over three month long seasons and allow players to unlock cosmetics (such as dice, armour and balls). Players may attempt to injure, maim or kill the opposition in order to make scoring easier by reducing the number of enemy players on the field. Touchdowns are scored by taking the ball into the opposition's end zone. The game is a fantasy version of American football, played between two teams of up to 16 players, each team fielding up to 11 players at a time. The launch was met with criticism over the new monetisation system introduced into the game, bugs and crashes, poor AI, readability, as well as server issues and a lack of tools and features present in the previous game. The game was announced in August 2020 but had numerous delays and postponement to its release date. It contains a single-player campaign as well as multiplayer. The game uses the newly updated Second Edition ruleset. The game was released on 23 February 2023 for PlayStation 4, PlayStation 5, Windows, Xbox One and Xbox Series X/S, with a Nintendo Switch port to follow sometime later in 2023. It is a sequel to the 2015 video game Blood Bowl 2, based on the Blood Bowl board game by Games Workshop and is the third Blood Bowl game created by Cyanide. Blood Bowl 3 is a turn-based fantasy sports video game developed by Cyanide Studios and published by Nacon.

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