: You can customize player stats like Forehand, Service, and Speed. Winning matches earns skill points to distribute among these attributes.

Tennis Elbow 4 is designed to be extremely mod-friendly. Players can customize everything from player names to court textures and commentary. [TE4] Modding SDK - Mana Games

The simulation is built on a "risk-reward" balance in shot-making, where positioning and timing are critical.

Beginners are encouraged to invest starting points into Forehand, Backhand, Service, Speed, Muscle Tone, and Focus.