The game includes a world states system which creates reactions to deaths of notable people. Kenshi has many non-player locations, of sizes ranging from a single building to large cities. As part of the damage system, limbs can be severed or damaged individually, with the option to replace them with prosthetic limbs if available. The player can recruit characters from numerous different factions and species to join their squad, and can eventually build a town themselves. Skills are leveled up through doing actions, such as leveling up thievery by stealing items, various combat skills by fighting, and the player can recruit other units to grow their squad.

The player starts out with no skills and struggles to survive in the early stages of the game. It takes place in a post-apocalyptic setting, where it is incredibly difficult for life to survive. Kenshi is an open world role-playing video game with real-time strategy elements that has no linear narrative. Kenshi has a damage system where players and enemies can lose limbs after battles and have to permanently deal with the consequences

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