Higher scores have a greater impact on decreasing the player character's head or balloon size. To keep the size down players must complete combos. If the player's head or balloon becomes too large it pops, ending the game. In the case of Xbox 360 avatars the head is represented by a balloon in tow. Big Head Survival is a new game mode in which the player character skates with their head becoming gradually inflated. In addition to the main gameplay mode other single and multiplayer modes are included. These include achieving a set high score, collecting the letters S-K-A-T-E, and finding a hidden DVD (in the same vein of the 'Secret Tapes' from the first three games) within each level. In exchange for completion of these objectives players are rewarded with points that can be spent to upgrade a character's attributes. Players are also tasked with completing objectives in each level.

Originally this ability was only going to be limited for use in the levels that came with the DLC but due to the protracted release schedule, Robomodo released an update for the game that added the revert in all levels. Included in the content is the ability to perform a revert, a trick which involves changing the direction of the board while keeping forward momentum. Tony Hawk's Pro Skater 3 downloadable content (DLC) was added. Pro Skater HD is an amalgam of Tony Hawk's Pro Skater and Tony Hawk's Pro Skater 2, and as such the game does not feature any additional tricks or moves added to later games in the series. If the player successfully lands the final trick the score is then banked, otherwise all points in that combo are lost. The player's score is multiplied by the number of tricks in the combo.

Performing several moves in succession without any pause results in a combo. The objective is to score points by successfully completing various skateboarding tricks such as grinds, flip tricks, and aerials. Tony Hawk's Pro Skater HD is a skateboarding video game, with an arcade-style emphasis with regard to realism. Top: Tony Hawk's Pro Skater HD bottom: The original Tony Hawk's Pro Skater. Developer Robomodo worked closely with Tony Hawk to recreate both gameplay and visuals in a new, high-definition environment.

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